Active NPI
Anke-Juliana Thiel, R.D.
- Registered Dietitian
- Santa Ana, CA
National Provider Identifier
1992981401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 982020
- Practice address
- 2212 E 4TH St
Santa Ana, CA 92705-3870 - Phone
- (714) 628-3242
- NPI assigned
- Jan 15, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 982020 | CA | Primary |
Addresses
Primary practice location
2212 E 4TH St
Santa Ana, CA 92705-3870
Mailing address
200 W Center Street Promenade Ste 300
Anaheim, CA 92805-3960
Phone (714) 449-4841
Other practice location 1
570 Nevada St Ste F
Redlands, CA 92373-3139
Phone (951) 314-4581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190709001669 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 7012242316 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 982020 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1992981401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W CENTER STREET PROMENADE STE 300",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053960",
"telephone_number": "714-449-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 E 4TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053870",
"telephone_number": "714-628-3242"
}
],
"practiceLocations": [
{
"address_1": "570 Nevada St Ste F",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923733139",
"country_code": "US",
"telephone_number": "951-314-4581",
"fax_number": "909-495-1369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THIEL",
"first_name": "ANKE-JULIANA",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-15",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "982020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.