Active NPI
Eugenia Ariadne Pinder, MCD, RD
- Registered Dietitian
- Meadow Vista, CA
National Provider Identifier
1487107892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 958120
- Practice address
- 16897 Placer Hills Road
Meadow Vista, CA 95722 - Phone
- (530) 878-4828
- NPI assigned
- Aug 2, 2016
- Last updated
- Aug 2, 2016
- 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 | 958120 | CA | Primary |
Addresses
Primary practice location
16897 Placer Hills Road
Meadow Vista, CA 95722
Mailing address
16897 Placer Hills Rd
Meadow Vista, CA 95722-9531
Phone (530) 878-4828
Other names 1
- Eugenia Ariadne Bezzerides
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 |
|---|---|---|---|
| 958120 | 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": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1487107892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16897 PLACER HILLS RD",
"city": "MEADOW VISTA",
"state": "CA",
"postal_code": "957229531",
"telephone_number": "530-878-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16897 PLACER HILLS ROAD",
"city": "MEADOW VISTA",
"state": "CA",
"postal_code": "95722",
"telephone_number": "530-878-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINDER",
"first_name": "EUGENIA",
"middle_name": "ARIADNE",
"credential": "MCD, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "958120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EUGENIA",
"last_name": "BEZZERIDES",
"middle_name": "ARIADNE",
"credential": "MCD, RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Meadow Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.