Active NPI
Mikaela Duffy, RDN, LDN
- Registered Dietitian
- Murrieta, CA
National Provider Identifier
1609522689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1411
- Practice address
- 29970 Technology Dr Ste 118
Murrieta, CA 92563-2647 - Phone
- (951) 365-7193
- NPI assigned
- Feb 28, 2022
- 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 | 1411 | WV | Primary |
Addresses
Primary practice location
29970 Technology Dr Ste 118
Murrieta, CA 92563-2647
Mailing address
29970 Technology Dr Ste 118
Murrieta, CA 92563-2647
Other names 1
- Mikaela Duffy
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 |
|---|---|---|---|
| 1411 | WV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1609522689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29970 TECHNOLOGY DR STE 118",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29970 TECHNOLOGY DR STE 118",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632647",
"telephone_number": "951-365-7193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "MIKAELA",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "1411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKAELA",
"last_name": "DUFFY",
"credential": "RDN, LDN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.