Active NPI
Kaylee Rebecca Weeks, RD
- Registered Dietitian
- San Rafael, CA
National Provider Identifier
1568284602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86130747
- Practice address
- 30 N San Pedro Rd Ste 265
San Rafael, CA 94903-4153 - Phone
- (949) 981-0063
- NPI assigned
- Oct 29, 2024
- 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 | 86130747 | CA | Primary |
Addresses
Primary practice location
30 N San Pedro Rd Ste 265
San Rafael, CA 94903-4153
Mailing address
28801 Jaeger Dr
Laguna Niguel, CA 92677
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 |
|---|---|---|---|
| 86130747 | 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": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1568284602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28801 JAEGER DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "92677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N SAN PEDRO RD STE 265",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949034153",
"telephone_number": "949-981-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEKS",
"first_name": "KAYLEE",
"middle_name": "REBECCA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-29",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86130747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.