Active NPI
Patricia Louise Kulbeth, RD
- Registered Dietitian
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 655302
- Practice address
- 3400 Douglas Blvd Ste 225
Roseville, CA 95661-4283 - Phone
- (916) 740-3721
- Fax
- (916) 783-0513
- NPI assigned
- Feb 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1762 | KS | |
| Registered Dietitian | 133V00000X | 655302 | Primary |
Addresses
Primary practice location
3400 Douglas Blvd Ste 225
Roseville, CA 95661-4283
Mailing address
3400 Douglas Blvd Ste 225
Roseville, CA 95661-4283
Phone (916) 740-3721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1762 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uch-MHS | Current | Accepting new patients | |
| Siskiyou Hospital, Inc. | Current | Accepting new patients | |
| Telehealth Specialty Medical Group | Current | Accepting new patients | |
| Uch-MHS | Past | Accepting new patients | |
| Tele-Medicine Services Ny, PLLC | Past | Accepting new patients |
Locations
9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333
3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628
3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721
3400 Douglas Blvd
Ste 224
Roseville, CA 95661
475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507
444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256
175 S Union Blvd
Ste 250
Colorado Springs, CO 80910
Phone (719) 365-1624
175 S Union Blvd
Ste 300
Colorado Springs, CO 80910
Phone (719) 365-6363
5360 N Academy Blvd
Ste 220
Colorado Springs, CO 80918
Phone (719) 598-3585
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
Interoperability endpoints
- telemed2u.patricialouisekulbeth@160918.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
- Emergency Medicine Physician
- Roseville, CA
- NPI 1326338237
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1538958400
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1609663780
-
- Ambulance
- Colorado Springs, CO
- NPI 1417512559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1821338112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DOUGLAS BLVD STE 225",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614283",
"telephone_number": "916-740-3721",
"fax_number": "916-783-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 DOUGLAS BLVD STE 225",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614283",
"telephone_number": "916-740-3721",
"fax_number": "916-783-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULBETH",
"first_name": "PATRICIA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "1762",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "655302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.