Individual provider Active NPI

Alice Voluntad, MS, RDN, IBCLC

  • Registered Dietitian
  • Fresno, CA
National Provider Identifier
1780051417
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1014973 Issued in CA
Practice address
5522 N Ellendale Ave
Fresno, CA 93722-2507
Phone
(559) 514-1186
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1014973 CA Primary

Addresses

Primary practice location

5522 N Ellendale Ave
Fresno, CA 93722-2507

Mailing address

5522 N Ellendale Ave
Fresno, CA 93722-2507
Phone (559) 514-1186

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1014973CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1780051417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 N ELLENDALE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222507",
            "telephone_number": "559-514-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 N ELLENDALE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222507",
            "telephone_number": "559-514-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLUNTAD",
        "first_name": "ALICE",
        "credential": "MS, RDN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1014973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.