Bridget Marie Soper, MS, RD, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1108835 Issued in CA

Practice address

2315 Stockton Boulevard
Unit 101
Sacramento, CA 95817-9451

Phone

(707) 477-5438

NPI assigned

Mar 17, 2021

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1487239794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 SAN LUIS RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972564",
            "telephone_number": "707-477-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BOULEVARD",
            "address_2": "UNIT 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958179451",
            "telephone_number": "707-477-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Stockton Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172201",
            "country_code": "US",
            "telephone_number": "707-477-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOPER",
        "first_name": "BRIDGET",
        "middle_name": "MARIE",
        "credential": "MS, RD, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1108835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Ann Soohoo, RN
• Daman Soomal
• Shabana Soomar, MS,PHD
• Baljeet Soor, MD
• Marina Soosaipillai, M.D.
• Alexander Sopp, LMFT
• Sonja Sorbo, MD
• Blanca Sorby
• Jillian Christine Sordello
• Amelia Ann Sorensen, M.D.

• Registered Dietitian in Sacramento, CA
• Providers in Sacramento, 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, 2021; 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.