Active NPI
Angella Kriens, RD, CEDRD
- Registered Dietitian
- Sausalito, CA
National Provider Identifier
1740836956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1032262
- Practice address
- 3030 Bridgeway Ste 230
Sausalito, CA 94965-3813 - Phone
- (415) 855-0032
- NPI assigned
- Aug 13, 2019
- 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 | 1032262 | CA | Primary |
Addresses
Primary practice location
3030 Bridgeway Ste 230
Sausalito, CA 94965-3813
Mailing address
3030 Bridgeway Ste 230
Sausalito, CA 94965-3813
Phone (415) 855-0032
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 |
|---|---|---|---|
| 1032262 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1740836956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 BRIDGEWAY STE 230",
"city": "SAUSALITO",
"state": "CA",
"postal_code": "949653813",
"telephone_number": "415-855-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 BRIDGEWAY STE 230",
"city": "SAUSALITO",
"state": "CA",
"postal_code": "949653813",
"telephone_number": "415-855-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIENS",
"first_name": "ANGELLA",
"credential": "RD, CEDRD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1032262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sausalito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.