Active NPI
Katherine McFadden, R.D., CDE
- Registered Dietitian
- Woodland, CA
National Provider Identifier
1619017241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 706478
- Practice address
- 215 W Beamer St
Woodland, CA 95695-2510 - Phone
- (530) 405-2900
- Fax
- (530) 204-5255
- NPI assigned
- Feb 6, 2007
- Last updated
- Feb 25, 2020
- 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 | 706478 | CA | Primary |
Addresses
Primary practice location
215 W Beamer St
Woodland, CA 95695-2510
Mailing address
PO Box 5092
Berkeley, CA 94705-0092
Phone (510) 649-1573
Other practice location 1
2051 John Jones Rd
Davis, CA 95616-9701
Phone (530) 758-2060
Other practice location 2
500 Jefferson Blvd Ste B180
West Sacramento, CA 95605-2394
Phone (916) 403-2900
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 |
|---|---|---|---|
| 706478 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1619017241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5092",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947050092",
"telephone_number": "510-649-1573",
"fax_number": "510-887-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W BEAMER ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956952510",
"telephone_number": "530-405-2900",
"fax_number": "530-204-5255"
}
],
"practiceLocations": [
{
"address_1": "2051 John Jones Rd",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "956169701",
"country_code": "US",
"telephone_number": "530-758-2060",
"fax_number": "530-758-8490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Jefferson Blvd Ste B180",
"address_purpose": "LOCATION",
"city": "West Sacramento",
"state": "CA",
"postal_code": "956052394",
"country_code": "US",
"telephone_number": "916-403-2900",
"fax_number": "530-204-5248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCFADDEN",
"first_name": "KATHERINE",
"credential": "R.D., CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "706478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.