Active NPI
Alexandra Parker-Dejesus, RDN
- Registered Dietitian
- Rocklin, CA
National Provider Identifier
1447790829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86059359
- Practice address
- 6960 Destiny Dr
Ste. 100
Rocklin, CA 95677-2993 - Phone
- (916) 624-1777
- NPI assigned
- Mar 3, 2017
- 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 | 86059359 | Primary |
Addresses
Primary practice location
6960 Destiny Dr
Ste. 100
Rocklin, CA 95677-2993
Mailing address
5629 Harvest Rd
Rocklin, CA 95765-5403
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1447790829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5629 HARVEST RD",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6960 DESTINY DR",
"address_2": "STE. 100",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956772993",
"telephone_number": "916-624-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER-DEJESUS",
"first_name": "ALEXANDRA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86059359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.