Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifestyle Nutrition & Dietetics

Organization Registered Dietitian · NPI 1073167409

Lifestyle Nutrition & Dietetics is a Registered Dietitian in Roseville, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

970 Reserve Dr Ste 100
Roseville, CA 95678-1377
Phone: (530) 830-2551
Fax: (916) 970-0071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1073167409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Caudill — Rd · (530) 830-2551
NPI enumeratedJuly 24, 2019
Last updated in NPPESFebruary 28, 2020
Certification dateFebruary 28, 2020
Mailing address9100 Seavey Ln, Loomis, CA 95650-8898

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