Eileen Bird, RDN
Individual provider Active NPI Registered Dietitian · Beale Afb, CA
NPI 1851923056 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1851923056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 951659 (CA)
- Practice address
- 15301 Warren Shingle Rd
Beale Afb, CA 95903-1905 - Phone
- (916) 647-2242
- NPI assigned
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 951659 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 951659 | CA | Yes |
Addresses
Primary practice location
15301 Warren Shingle Rd
Beale Afb, CA 95903-1905
Mailing address
782 Farrington LN
Lincoln, CA 95648-8008
Phone (916) 647-2242
Other providers in Beale Afb, CA
- Frank Peter Baccelli
- Sumit Bagga
- Susan Berganio
- Timber Ann Best
- Evan Wesley Birchard
- Emma Black
- Angelo J. Boss
- John Patrick Bossalini
- Joel Edward Brady
- Sadina Lynn Brecheisen-Beach
All providers in Beale Afb, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.