Active NPI
Andrea Michelle Kent, RD
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1821606344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86023311
- Practice address
- 5305 Cass St
San Diego, CA 92109-1207 - Phone
- (949) 280-6126
- NPI assigned
- Jul 21, 2020
- Last updated
- Jul 21, 2020
- 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 | 86023311 | CA | Primary |
Addresses
Primary practice location
5305 Cass St
San Diego, CA 92109-1207
Mailing address
5305 Cass St
San Diego, CA 92109-1207
Phone (949) 280-6126
Other practice location 1
336 Palomar Ave
LA Jolla, CA 92037-6003
Phone (949) 280-6126
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Kalix | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 86023311 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent Nutrition Counseling | Dietitian, Registered | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1821606344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 CASS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921091207",
"telephone_number": "949-280-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5305 CASS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921091207",
"telephone_number": "949-280-6126"
}
],
"practiceLocations": [
{
"address_1": "336 Palomar Ave",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920376003",
"country_code": "US",
"telephone_number": "949-280-6126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENT",
"first_name": "ANDREA",
"middle_name": "MICHELLE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-21",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86023311",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Kalix",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5305 Cass St",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921091207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.