Active NPI
Nancy Neirick, MS., RD
- Renal Nutrition Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1497771430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 931493
- Practice address
- 8631 W 3Rd St
Suite # 1030E
Los Angeles, CA 90048-5901 - Phone
- (310) 652-8446
- NPI assigned
- Jul 14, 2006
- 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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 931493 | CA | Primary |
Addresses
Primary practice location
8631 W 3Rd St
Suite # 1030E
Los Angeles, CA 90048-5901
Mailing address
8631 West 3Rd Street
Suite #1030 E.
Los Angeles, CA 90048
Phone (310) 652-8446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060428000422 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 5092725457 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1497771430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 WEST 3RD STREET",
"address_2": "SUITE #1030 E.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90048",
"telephone_number": "310-652-8446",
"fax_number": "310-652-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "SUITE # 1030E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-652-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIRICK",
"first_name": "NANCY",
"name_prefix": "Mrs.",
"credential": "MS., RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "CA",
"license": "931493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.