Active NPI
Chiara Maria Kae, RD
- Registered Dietitian
- Sebastopol, CA
National Provider Identifier
1497257919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86035348
- Practice address
- 6741 Sebastopol Ave Ste 120-140
Sebastopol, CA 95472-3839 - Phone
- (707) 477-7791
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 86035348 | CA | Primary |
Addresses
Primary practice location
6741 Sebastopol Ave Ste 120-140
Sebastopol, CA 95472-3839
Mailing address
PO Box 757
Sebastopol, CA 95473-0757
Phone (707) 477-7791
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 |
|---|---|---|---|
| 86035348 | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1497257919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 757",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954730757",
"telephone_number": "707-477-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6741 SEBASTOPOL AVE STE 120-140",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723839",
"telephone_number": "707-477-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAE",
"first_name": "CHIARA",
"middle_name": "MARIA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86035348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.