OrganizationActive
Lifestyle Nutrition & Dietetics
NPI 1073167409 · Registered Dietitian · Roseville, CA
Provider details
- NPI number
- 1073167409
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Caudill, Rd(530) 830-2551
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
970 Reserve Dr Ste 100
Roseville, CA 95678-1377
Phone: (530) 830-2551
Fax: (916) 970-0071
Street-level locationGet directions
Mailing address
9100 Seavey Ln
Loomis, CA 95650-8898
Registry dates
- Enumerated
- 2019-07-24
- Last updated
- 2020-02-28
- Certified
- 2020-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.