Active NPI
Andrea Christine Chapin, RD
- Registered Dietitian
- Lodi, CA
National Provider Identifier
1477837854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1040902
- Practice address
- 975 S Fairmont Ave
Lodi, CA 95240-5118 - Phone
- (209) 339-7637
- NPI assigned
- Oct 4, 2011
- 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 | 1040902 | CA | Primary |
Addresses
Primary practice location
975 S Fairmont Ave
Lodi, CA 95240-5118
Mailing address
PO Box 3004
Lodi, CA 95241-1908
Phone (209) 334-8520
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040902 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1477837854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3004",
"city": "LODI",
"state": "CA",
"postal_code": "952411908",
"telephone_number": "209-334-8520",
"fax_number": "209-334-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 S FAIRMONT AVE",
"city": "LODI",
"state": "CA",
"postal_code": "952405118",
"telephone_number": "209-339-7637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPIN",
"first_name": "ANDREA",
"middle_name": "CHRISTINE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-04",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1040902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.