Individual provider Active NPI

Shirley Mei Ohlson, REGISTERED DIETITIAN

  • Registered Dietitian
  • Yuba City, CA
National Provider Identifier
1366804031
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
814591 Issued in CA
Practice address
1000 Sutter St
Yuba City, CA 95991-3459
Phone
(530) 673-9420
Fax
(530) 671-6909
NPI assigned
Mar 22, 2016
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 814591 CA Primary

Addresses

Primary practice location

1000 Sutter St
Yuba City, CA 95991-3459

Mailing address

1000 Sutter St
Yuba City, CA 95991-3459
Phone (530) 673-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714001197 CA Practitioner - Registered Dietitian Or Nutrition Professional 7618269457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

1000 Sutter St
Yuba City, CA 95991-3504
Phone (530) 673-9420

355 Samuel Dr
Yuba City, CA 95991-6324
Phone (530) 674-9200

931 Market St
Yuba City, CA 95991-4210
Phone (530) 671-8820

935 Market St
A
Yuba City, CA 95991-4217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
814591CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Jun 1, 2016 Accepting new patients
Ampla Health CurrentSince Jun 1, 2016 Accepting new patients

Locations

608 J St
Marysville, CA 95901
Phone (530) 673-9420

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • Direct secure messaging: shirley.ohlson@ampla.eclinicaldirectplus.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1366804031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SUTTER ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913459",
            "telephone_number": "530-673-9420",
            "fax_number": "530-671-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SUTTER ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913459",
            "telephone_number": "530-673-9420",
            "fax_number": "530-671-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLSON",
        "first_name": "SHIRLEY",
        "middle_name": "MEI",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "814591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.