Active NPI
Glee Van-Loon, R.D.
- Registered Dietitian
- Sacramento, CA
National Provider Identifier
1710054838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00922311
- Practice address
- 4860 Y St
Suite 2300
Sacramento, CA 95817-2307 - Phone
- (916) 734-0958
- NPI assigned
- Nov 30, 2006
- 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 | 00922311 | MI | Primary |
Addresses
Primary practice location
4860 Y St
Suite 2300
Sacramento, CA 95817-2307
Mailing address
10523 Fair Oaks Blvd
Apt #205
Fair Oaks, CA 95628-7500
Phone (916) 965-6714
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 |
|---|---|---|---|
| 00922311 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186099200000",
"number": "1710054838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10523 FAIR OAKS BLVD",
"address_2": "APT #205",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287500",
"telephone_number": "916-965-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST",
"address_2": "SUITE 2300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN-LOON",
"first_name": "GLEE",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "00922311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.