Active NPI
Paulette Angela Tourville, RDN
- Registered Dietitian
- Windsor, CA
National Provider Identifier
1831866896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86047907
- Practice address
- 9240 Old Redwood Hwy Unit 200
Windsor, CA 95492-9349 - Phone
- (707) 837-3710
- NPI assigned
- Aug 26, 2021
- 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 | 86047907 | CA | Primary |
Addresses
Primary practice location
9240 Old Redwood Hwy Unit 200
Windsor, CA 95492-9349
Mailing address
9240 Old Redwood Hwy Unit 200
Windsor, CA 95492-9349
Phone (707) 837-3710
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 |
|---|---|---|---|
| 86047907 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1831866896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9240 OLD REDWOOD HWY UNIT 200",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954929349",
"telephone_number": "707-837-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9240 OLD REDWOOD HWY UNIT 200",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954929349",
"telephone_number": "707-837-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOURVILLE",
"first_name": "PAULETTE",
"middle_name": "ANGELA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86047907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.