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KRISTEN ELLIS RDN NPI 1104310036


NPI Information

NPI: 1104310036
Provider Name: KRISTEN ELLIS, RDN
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
2121 BAYPOINTE DR
NEWPORT BEACH, CA
ZIP 92660
Phone: (585) 313-2952
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Kristen Ellis, RDN is a dietitian registered in Newport Beach, CA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Kristen Ellis, RDN NPI is 1104310036. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2121 BAYPOINTE DR
NEWPORT BEACH, CA
ZIP 92660-518
Phone: (585) 313-2952

The enumeration date for this NPI number is 6/14/2018 and was last updated on 10/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistAMFT135522CALIFORNIANo
2106H00000XMarriage & Family Therapist135522CALIFORNIANo
3133V00000XDietitian, RegisteredCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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