Active NPI
Donna Lynn Morton de Souza, RD
- Renal Nutrition Registered Dietitian
- Sacramento, CA
National Provider Identifier
1609164508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 14552
- Practice address
- 20 Cafaro Cir
Sacramento, CA 95834-1036 - Phone
- (916) 601-5753
- NPI assigned
- Jul 13, 2011
- 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 | 14552 | CA | Primary |
Addresses
Primary practice location
20 Cafaro Cir
Sacramento, CA 95834-1036
Mailing address
20 Cafaro Cir
Sacramento, CA 95834-1036
Phone (916) 601-5753
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1609164508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CAFARO CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341036",
"telephone_number": "916-601-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CAFARO CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341036",
"telephone_number": "916-601-5753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON DE SOUZA",
"first_name": "DONNA",
"middle_name": "LYNN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "CA",
"license": "14552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.