Individual provider Active NPI

Amy G Myrdal, MS, RDN

  • Registered Dietitian
  • Carmichael, CA
National Provider Identifier
1841745650
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
4925 Cameron Ranch Dr
Carmichael, CA 95608-8017
Phone
(916) 564-8086
Fax
(916) 564-8086
NPI assigned
Aug 22, 2016
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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 Primary

Addresses

Primary practice location

4925 Cameron Ranch Dr
Carmichael, CA 95608-8017

Mailing address

4925 Cameron Ranch Dr
Carmichael, CA 95608-8017
Phone (916) 564-8086

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

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1841745650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 CAMERON RANCH DR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956088017",
            "telephone_number": "916-564-8086",
            "fax_number": "916-564-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 CAMERON RANCH DR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956088017",
            "telephone_number": "916-564-8086",
            "fax_number": "916-564-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRDAL",
        "first_name": "AMY",
        "middle_name": "G",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.