Active NPI
Misty Faulkner, RDN
- Registered Dietitian
- Valley Center, CA
National Provider Identifier
1609462092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86151025
- Practice address
- 50100 Golsh Rd
Valley Center, CA 92082-5338 - Phone
- (760) 749-1410
- NPI assigned
- Dec 18, 2020
- 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 | 86151025 | CA | Primary |
Addresses
Primary practice location
50100 Golsh Rd
Valley Center, CA 92082-5338
Mailing address
833 Via Barquero
San Marcos, CA 92069-7395
Phone (858) 373-8146
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86151025 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1609462092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 VIA BARQUERO",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920697395",
"telephone_number": "858-373-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50100 GOLSH RD",
"city": "VALLEY CENTER",
"state": "CA",
"postal_code": "920825338",
"telephone_number": "760-749-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "MISTY",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86151025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Center, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.