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KAYLENE SACKETT RD
NPI 1336735331
Dietitian, Registered in Temecula, CA

Active since December 15, 2020
44605 AVENIDA DE MISSIONES STE 100, TEMECULA, CA 92592(951) 302-3675 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2024, Dec 15, 2020 (2 updates tracked since 2020).

About Kaylene Sackett Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLENE SACKETT RD (NPI 1336735331) is an individual dietitian, registered in Temecula, California, licensed in California (86087400) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1336735331
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKAYLENE SACKETTCredential: RD
Location Address44605 AVENIDA DE MISSIONES STE 100Temecula, CA 92592-5001
Mailing Address538 8th St Apt 1Hermosa Beach, CA 90254-4260
Phone(951) 302-3675
Sole ProprietorNo
Enumeration DateDecember 15, 2020
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1336735331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 86087400
Definition
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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
44605 AVENIDA DE MISSIONES STE 100, Temecula, CA 92592
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylene Sackett Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kaylene Sackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nourish, Inc.
1,157 mi
Dietitian, Registered
3724 JEFFERSON ST STE 104
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • 487 clinicians in this Medicare group
NPI 1558097824 (512) 693-7045

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WADDELL DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
44605 AVENIDA DE MISSIONES STE 100
TEMECULA, CA 92592
Riverside County (951) 302-3675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaylene Sackett's NPI number?

The NPI number for Kaylene Sackett is 1336735331. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Kaylene Sackett located?

Kaylene Sackett practices at 44605 Avenida De Missiones Ste 100, Temecula, CA 92592. The listed phone number is (951) 302-3675.

What is Kaylene Sackett's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kaylene Sackett enrolled in Medicare?

Yes. Kaylene Sackett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaylene Sackett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaylene Sackett reassigns Medicare benefits to Nourish, Inc. (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaylene Sackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaylene Sackett accept?

Health plans from Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Texas list Kaylene Sackett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaylene Sackett was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.