Active NPI
Elizabeth Reyes, R.D.
- Registered Dietitian
- Bakersfield, CA
National Provider Identifier
1376948984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 994126
- Practice address
- 815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365 - Phone
- (661) 322-3905
- NPI assigned
- Oct 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 994126 | CA | Primary |
Addresses
Primary practice location
815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365
Mailing address
PO Box 1559
Bakersfield, CA 93302-1559
Phone (661) 635-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 994126 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1376948984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933021559",
"telephone_number": "661-635-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 DR MARTIN LUTHER KING JR BLVD",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933071365",
"telephone_number": "661-322-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ELIZABETH",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "994126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.