Glynnis Womack, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86031353

Practice address

25 Oak Manor CT
Chico, CA 95926-1779

Phone

(530) 828-5027

NPI assigned

Mar 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1457222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1598125338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OAK MANOR CT",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261779",
            "telephone_number": "530-828-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OAK MANOR CT",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261779",
            "telephone_number": "530-828-5027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Doyle Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954054559",
            "country_code": "US",
            "telephone_number": "707-303-1719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "GLYNNIS",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-06",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86031353",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86031353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Witherspoon, LVN
• Ann Sherri Witters
• Jessica Wix-Faulkner
• Michael Wold
• Peter J Wolk, M.D.
• Mark G. Womack, D.D.S.
• Becky Wong Kaplan
• Kathleen May Wong
• Lauren K Wong
• Lester K Wong, M.D.

• Registered Dietitian in Chico, CA
• Providers in Chico, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.