Kaylene Sackett, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86087400 Issued in CA

Practice address

44605 Avenida de Missiones Ste 100
Temecula, CA 92592-5001

Phone

(951) 302-3675

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD
• Waddell Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Temecula, CA
  • NPI 1861949331
  NPD
• Mulgee Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hawthorne, CA
  • NPI 1710229794
  NPD (past)
• Greater Good Health PC, Inc.

  • Primary Care Clinic/Center
  • Ammon, ID
  • NPI 1033095914
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1336735331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 8TH ST APT 1",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44605 AVENIDA DE MISSIONES STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925001",
            "telephone_number": "951-302-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKETT",
        "first_name": "KAYLENE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86087400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Borland Marriage and Family Therapy Inc.
• Erica Nicole Ryan
• Ronald James Ryan, MFT
• S. Cheema Dental Corporation
• S&a Partners for Care LLC
• Victoria Saenz
• Sage Counseling Services
• Gabriella Sagrera
• Sahawneh Dental Corporation
• Sahawneh Dental Corporation

• Registered Dietitian in Temecula, CA
• Providers in Temecula, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.