Healthcare Provider Details

I. General information

NPI: 1316913841
Provider Name (Legal Business Name): JANELLE EMBREE DIETITIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 MADERA RD
SACRAMENTO CA
95825-0246
US

IV. Provider business mailing address

2120 MADERA RD
SACRAMENTO CA
95825-0246
US

V. Phone/Fax

Practice location:
  • Phone: 916-843-7351
  • Fax: 916-843-7387
Mailing address:
  • Phone: 916-843-7351
  • Fax: 916-843-7387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number722800
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: