Individual provider Active NPI

Sienna Rose Kenney, RD

  • Registered Dietitian
  • Clovis, CA
National Provider Identifier
1487284543
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86061586 Issued in CA
Practice address
115 N Fairfax Ave
Clovis, CA 93612-0254
Phone
(559) 930-7604
NPI assigned
Jan 16, 2020
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86061586 CA Primary

Addresses

Primary practice location

115 N Fairfax Ave
Clovis, CA 93612-0254

Mailing address

115 N Fairfax Ave
Clovis, CA 93612-0254
Phone (559) 930-7604

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL siennergy@gmail.com

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

LicenseStateTypeSpecialty
86061586CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1487284543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N FAIRFAX AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120254",
            "telephone_number": "559-930-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N FAIRFAX AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120254",
            "telephone_number": "559-930-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "SIENNA",
        "middle_name": "ROSE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86061586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "siennergy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "115 N Fairfax Ave",
            "city": "Clovis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936120254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.