Organization Active NPI

Clear Blue Nutrition Inc

  • Registered Dietitian
  • Davis, CA
National Provider Identifier
1679481907
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CLEAR BLUE NUTRITION INC
Practice address
720 Olive Dr Ste D1
Davis, CA 95616-4740
Phone
(916) 572-5122
NPI assigned
Aug 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Blue, RDN
Title
Ceo
Phone
(916) 572-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

720 Olive Dr Ste D1
Davis, CA 95616-4740

Mailing address

1520 E Covell Blvd Ste B5
Davis, CA 95616-1366
Phone (916) 572-5122

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1679481907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 E COVELL BLVD STE B5",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161366",
            "telephone_number": "916-572-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE DR STE D1",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164740",
            "telephone_number": "916-572-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR BLUE NUTRITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-572-5122",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.