Active NPIIndividual provider

Mikaela L Burns, RD

Dietitian, Registered in Emeryville, California

NPI Number1396320743
Practice location
6121 Hollis St, Emeryville, CA 94608-2077
Fax
—
Last updated
September 20, 2023

Mikaela Leary Burns is a Dietitian, Registered based in Emeryville, CA. Mikaela Leary Burns practices in Emeryville, CA and has the professional credentials of RD. The NPI Number for Mikaela Leary Burns is 1396320743 and holds a License No. LDN01067 (RI). The current practice location address for Mikaela Leary Burns is 6121 Hollis St, Emeryville, CA 94608-2077 and can be reached out via phone at 831-334-2313.

Provider Profile Details

NPI Number
1396320743
Provider Name
Mikaela Leary Burns
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
6121 Hollis St, Emeryville, CA 94608-2077
Phone Number
831-334-2313
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 16, 2021
Last Update Date
September 20, 2023
Certification Date
August 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
6121 Hollis St
Emeryville, CA 94608-2077
Zip
94608-2077
Phone Number
831-334-2313
Emeryville, CA 94608Get directions →

Provider Business Mailing Address Details

Address
6121 Hollis St Ste 2
Emeryville, CA 94608-2078
City
Emeryville
State
CA
Zip
94608-2078
Phone Number
510-587-9600
Fax Number
510-587-9606

License Information

License Number (1)
LDN01067
License State (1)
RI
License Number (2)
86132853
License State (2)
CA
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mikaela L Burns, RD?

The NPI number of Mikaela L Burns, RD is 1396320743. It was assigned on March 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Mikaela L Burns, RD?

Mikaela L Burns, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number LDN01067.

Where does Mikaela L Burns, RD practice?

The practice location is 6121 Hollis St, Emeryville, CA 94608-2077. The office can be reached at 831-334-2313 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396320743 directly on the NPPES registry website.

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