Active NPI
Kristen Marie Bradley, R.D.
- Registered Dietitian
- Yuba City, CA
National Provider Identifier
1497987267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 334 Samuel Dr
Yuba City, CA 95991-6325 - Phone
- (530) 674-9200
- NPI assigned
- Aug 12, 2009
- 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 | CA | Primary |
Addresses
Primary practice location
334 Samuel Dr
Yuba City, CA 95991-6325
Mailing address
334 Samuel Dr
Yuba City, CA 95991-6325
Phone (530) 674-9200
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampla Health | Past | Accepting new patients | |
| Ampla Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Yuba City, CA
- NPI 1255350351
-
- Federally Qualified Health Center (FQHC)
- Chico, CA
- NPI 1881613669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1497987267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 SAMUEL DR",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959916325",
"telephone_number": "530-674-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 SAMUEL DR",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959916325",
"telephone_number": "530-674-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.