Active NPI
Ayde Colin, RD/RDN
- Registered Dietitian
- Santa Clara, CA
National Provider Identifier
1902259781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86050360
- Practice address
- 710 Lawrence Expressway
Health Education Department #182
Santa Clara, CA 95051 - Phone
- (408) 851-3800
- NPI assigned
- Jul 18, 2016
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | 86050360 | CA | |
| Nutritionist | 133N00000X | 86050360 | CA | |
| Nutrition Education Nutritionist | 133NN1002X | 86050360 | CA | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 86050360 | CA | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 86050360 | CA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 86050360 | CA | |
| Registered Dietitian | 133V00000X | 86050360 | CA | Primary |
Addresses
Primary practice location
710 Lawrence Expressway
Health Education Department #182
Santa Clara, CA 95051
Mailing address
710 Lawrence Expressway
Health Education Department #182
Santa Clara, CA 95051
Phone (408) 851-3800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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 |
|---|---|---|---|
| 86050360 | CA | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1902259781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 LAWRENCE EXPRESSWAY",
"address_2": "HEALTH EDUCATION DEPARTMENT #182",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95051",
"telephone_number": "408-851-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 LAWRENCE EXPRESSWAY",
"address_2": "HEALTH EDUCATION DEPARTMENT #182",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95051",
"telephone_number": "408-851-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLIN",
"first_name": "AYDE",
"credential": "RD/RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "CA",
"license": "86050360",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": "86050360",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": "86050360",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "CA",
"license": "86050360",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "CA",
"license": "86050360",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "86050360",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86050360",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "710 Lawrence Expy",
"city": "Santa Clara",
"state": "CA",
"country_code": "US",
"postal_code": "950515173",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.