Active NPI
Elisha Daigneault, RD
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1992100457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01050032
- Practice address
- 1930 Georgia CT Apt 7
San Diego, CA 92104-6209 - Phone
- (619) 992-5092
- NPI assigned
- Oct 27, 2014
- Last updated
- Oct 27, 2014
- 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 | 01050032 | CA | Primary |
Addresses
Primary practice location
1930 Georgia CT Apt 7
San Diego, CA 92104-6209
Mailing address
1930 Georgia CT Apt 7
San Diego, CA 92104-6209
Phone (619) 992-5092
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 |
|---|---|---|---|
| 01050032 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1992100457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 GEORGIA CT APT 7",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921046209",
"telephone_number": "619-992-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 GEORGIA CT APT 7",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921046209",
"telephone_number": "619-992-5092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIGNEAULT",
"first_name": "ELISHA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "01050032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.