Active NPI
Agata Sliwak, RD
- Registered Dietitian
- Murrieta, CA
National Provider Identifier
1417611336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1063654
- Practice address
- 38421 Members Club Dr
Murrieta, CA 92563-5862 - Phone
- (702) 334-9294
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 1063654 | Primary |
Addresses
Primary practice location
38421 Members Club Dr
Murrieta, CA 92563-5862
Mailing address
38421 Members Club Dr
Murrieta, CA 92563-5862
Phone (702) 334-9294
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Functional Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Registered Dietitian
- Murrieta, CA
- NPI 1619842499
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1417611336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38421 MEMBERS CLUB DR",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925635862",
"telephone_number": "702-334-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38421 MEMBERS CLUB DR",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925635862",
"telephone_number": "702-334-9294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLIWAK",
"first_name": "AGATA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-27",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1063654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
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- Slender Solutions and Wellness, a Professional Nursing Corporation
- Lawrence Lee Slusser, PA
- Troy Arlando Small
- Smart Counseling and Mental Health Center
- Smart Counseling and Mental Health Center Licensed Professional Clinic (Smart Counseling and Mental Health Center)
- Smart Recovery Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.