MS. KIMBERLY CAUDILL (NPI# 1356563142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356563142 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY CAUDILL |
| Credential | MS, RD, CNSC |
| Practice Address |
970 Reserve Dr Ste 100 Roseville CA 95678-1377 |
| Mailing Address |
9100 Seavey Ln Loomis CA 95650-8898 |
| Practice Telephone | 5308302551 |
| Practice Fax Number | 9970007116 |
| Mailing Telephone | 5308302551 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| REGISTERED DIETITIAN | 81-4254412 | 01 |
| Street Address |
970 RESERVE DR STE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073167409 | Lifestyle Nutrition & Dietetics | Dietitian, Registered | 970 Reserve Dr Ste 100, Roseville, CA 95678-1377 | 2019-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289241 | Alexis Mae Guttormson | Dietitian, Registered | 1057 Grandview Ave W, Roseville, MN 55113-4438 | 2020-09-10 |
| 1518593136 | Sarah Studley | Dietitian, Registered | 1410 Terrace Dr Apt 206, Roseville, MN 55113-1771 | 2020-03-15 |
| 1225586001 | Lori Post | Dietitian, Registered | 1769 Lexington Ave N # 286, Roseville, MN 55113-6522 | 2016-09-21 |
| 1194194415 | Erin Skinner | Dietitian, Registered | 1 Adventist Health Way, Roseville, CA 95661-3266 | 2015-09-16 |
| 1295101749 | Jennifer Hirsch | Dietitian, Registered | 402 Zamzow Ct, Roseville, CA 95747-6894 | 2015-08-19 |
| 1457743700 | Josie Turner | Dietitian, Registered | 31851 Gratiot Ave, Roseville, MI 48066-4527 | 2015-02-24 |
| 1548650674 | Kate Munson | Dietitian, Registered | 1751 County Road B W, 300, Roseville, MN 55113-4081 | 2015-01-27 |
| 1972853646 | Megan Elissa Wollenberg | Dietitian, Registered | 1675 Vernon St Unit 40, Roseville, CA 95678-3967 | 2012-09-10 |
| 1760443303 | Christine M Woodward | Dietitian, Registered | 1650 Lead Hill Blvd., Roseville, CA 95661 | 2006-03-31 |
| 1982221321 | Diane Leszczynski | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-01 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.