Morgan Dominique Knittel, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1025361 Issued in CA

Practice address

815 Court St Ste 5
Jackson, CA 95642-2154

Phone

(209) 257-7515

Fax

(209) 257-7513

NPI assigned

Oct 23, 2012

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1952327256
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467705889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-972-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COURT ST STE 5",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422154",
            "telephone_number": "209-257-7515",
            "fax_number": "209-257-7513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43130 28th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935361618",
            "country_code": "US",
            "telephone_number": "661-810-5017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNITTEL",
        "first_name": "MORGAN",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1025361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Lee Kent, RN,CNP
• Darrel Keith Kerr, MD
• Cassandra Lee King, FNP-BC
• Craig Allen Kinzer, DDS
• Johnna Kathleen Kladt
• Isabella Kullander
• Vikram Ramkumar Kumar, M.D.
• Denise Lack, N.P.
• Steven J Lalliss, MD.
• Sirinetr Lapeyri

• Registered Dietitian in Jackson, CA
• Providers in Jackson, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.