Individual provider · Type 1 NPI

Nicole Antoinette Dodge, RD

Registered Dietitian · San Diego, CA

NPI number 1629951900 Active

Practice location

3020 Childrens Way
San Diego, CA 92123-4223

Mailing address

17497 Ashburton Rd
San Diego, CA 92128-3945

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86415811 (CA)

Registered Dietitian: 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…

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About NPI 1629951900

Nicole Antoinette Dodge, RD's National Provider Identifier is 1629951900, issued on Jul 26, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 26, 2025.