Active NPI
Advanced Nutrition Center
- Point of Service
- Sacramento, CA
National Provider Identifier
1003220872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- ADVANCED NUTRITION CENTER
- Practice address
- 2322 Butano Drive
Suite 106
Sacramento, CA 95825 - Phone
- (916) 487-9355
- NPI assigned
- Jun 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherrlyn Christmas
- Title
- Owner
- Phone
- (916) 487-9355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Primary |
Addresses
Primary practice location
2322 Butano Drive
Suite 106
Sacramento, CA 95825
Mailing address
2322 Butano Dr
Suite 106
Sacramento, CA 95825-0629
Other names 1
- Advanced Nutrition Ministries
National Provider Directory
National Provider DirectoryLocations
2322 Butano Dr
Ste 106
Sacramento, CA 95825
Phone (916) 487-9355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461888000000",
"number": "1003220872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 BUTANO DR",
"address_2": "SUITE 106",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958250629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 BUTANO DRIVE",
"address_2": "SUITE 106",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95825",
"telephone_number": "916-487-9355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED NUTRITION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-19",
"last_updated": "2016-04-29",
"status": "A",
"authorized_official_last_name": "CHRISTMAS",
"authorized_official_first_name": "SHERRLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-487-9355"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Nutrition Ministries",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.