Active NPI
Danielle Emmons, RDN
- Registered Dietitian
- Rancho Santa Margarita, CA
National Provider Identifier
1417752239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 864674
- Practice address
- 28 Teaberry LN
Rancho Santa Margarita, CA 92688-8537 - Phone
- (310) 850-0702
- NPI assigned
- Feb 17, 2025
- Last updated
- Feb 17, 2025
- 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 | 864674 | CA | Primary |
Addresses
Primary practice location
28 Teaberry LN
Rancho Santa Margarita, CA 92688-8537
Mailing address
28 Teaberry LN
Rancho Santa Margarita, CA 92688-8537
Phone (310) 850-0702
Other names 1
- Danielle Nicole Rose
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 864674 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1417752239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 TEABERRY LN",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926888537",
"telephone_number": "310-850-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 TEABERRY LN",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926888537",
"telephone_number": "310-850-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMONS",
"first_name": "DANIELLE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "864674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "ROSE",
"middle_name": "NICOLE",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.