Ann Marie Deltredici, M.S., R.D.
Individual provider Active NPI Registered Dietitian · Kentfield, CA
NPI 1659436285 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659436285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 929 Sir Francis Drake Blvd
Suite 102
Kentfield, CA 94904-1548 - Phone
- (415) 256-1301
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050721000227 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 1850328840 | Practice locations: Kentfield, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
929 Sir Francis Drake Blvd
Suite 102
Kentfield, CA 94904-1548
Mailing address
4207 Fariss LN
El Sobrante, CA 94803-2213
Phone (510) 222-1391
Other providers in Kentfield, CA
- Josie Dameyer
- Danila Musante
- Kelsey Faith Diane Darnielle
- Leslie Dunn Davenport
- Suzanna De Sanz
- Lauren Derby
- Joan Leslie Difuria
- Ilene L. Dillon
- Boyka Dimitrova
- Deborah Doherty
All providers in Kentfield, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.