Active NPI
Carol Faye Kane, REGISTERED DIETITIAN
- Metabolic Nutrition Registered Dietitian
- Elk Grove, CA
National Provider Identifier
1457873465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 328292
- Practice address
- 2936 Robinson Creek LN
Elk Grove, CA 95758-3620 - Phone
- (916) 203-3441
- NPI assigned
- Jul 11, 2017
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 328292 | CA | Primary |
Addresses
Primary practice location
2936 Robinson Creek LN
Elk Grove, CA 95758-3620
Mailing address
2936 Robinson Creek LN
Elk Grove, CA 95758-3620
Phone (916) 203-3441
Other names 1
- Mrs. Carol Faye Smith, Strong
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 |
|---|---|---|---|
| 328292 | CA | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499731200000",
"number": "1457873465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2936 ROBINSON CREEK LN",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957583620",
"telephone_number": "916-203-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2936 ROBINSON CREEK LN",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957583620",
"telephone_number": "916-203-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "CAROL",
"middle_name": "FAYE",
"name_prefix": "Mrs.",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2017-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "328292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "SMITH, STRONG",
"middle_name": "FAYE",
"prefix": "MRS.",
"credential": "RDN CNSC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.