Kristen Ellis, RDN is a
Dietitian, Registered based in Newport Beach, California. Kristen Ellis is licensed to practice in California (license number ) and her current practice location is
2121 Baypointe Dr, Newport Beach, California. She can be reached at her office (for appointments etc.) via phone at
(585) 313-2952.
NPI number for Kristen Ellis is 1104310036 and her current mailing address is 2121 Baypointe Dr, Newport Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104310036.
Healthcare Provider's Profile
Full Name | Kristen Ellis |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 2121 Baypointe Dr, Newport Beach, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104310036
- Provider Enumeration Date: 06/14/2018
- Last Update Date: 10/27/2022
Medical Identifiers
Medical identifiers for Kristen Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104310036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | AMFT135522 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 135522 (California) | Secondary |
133V00000X | Dietitian, Registered | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristen Ellis, RDN 2121 Baypointe Dr, Newport Beach, CA 92660-8518 Ph: (585) 313-2952 | Kristen Ellis, RDN 2121 Baypointe Dr, Newport Beach, CA 92660-8518 Ph: (585) 313-2952 |
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