Active NPI
Elena Terese Fricke, RD
- Registered Dietitian
- Sacramento, CA
National Provider Identifier
1831827252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86071023
- Practice address
- 4301 X St
Sacramento, CA 95817-2214 - Phone
- (916) 717-9171
- NPI assigned
- Aug 12, 2022
- 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 | 86071023 | CA | Primary |
Addresses
Primary practice location
4301 X St
Sacramento, CA 95817-2214
Mailing address
451 Pico Way
Sacramento, CA 95819-2925
Phone (916) 734-2422
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 |
|---|---|---|---|
| 86071023 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685145600000",
"number": "1831827252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 PICO WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958192925",
"telephone_number": "916-734-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 X ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172214",
"telephone_number": "916-717-9171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICKE",
"first_name": "ELENA",
"middle_name": "TERESE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2023-05-27",
"certification_date": "2023-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86071023",
"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 May 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.