Active NPI
Transforming Nutrition Care
- Registered Dietitian
- Bozeman, MT
National Provider Identifier
1003382227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- TRANSFORMING NUTRITION CARE
- Practice address
- 14 South Willson Ave
Bozeman, MT 59715 - Phone
- (406) 579-9182
- Fax
- (406) 551-1208
- NPI assigned
- Oct 15, 2018
- 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
- Lisa Paige Reddan, RD LN
- Title
- Owner
- Phone
- (406) 579-9182
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
14 South Willson Ave
Bozeman, MT 59715
Mailing address
14 South Willson Ave
Bozeman, MT 59715
Phone (406) 579-9182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M01100 | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
14 S Willson Ave
Bozeman, MT 59715
Phone (406) 451-7370
14 S Willson Ave
Ste G
Bozeman, MT 59715
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bozeman, MT
- NPI 1295898559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539561600000",
"number": "1003382227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SOUTH WILLSON AVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59715",
"telephone_number": "406-579-9182",
"fax_number": "406-551-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 SOUTH WILLSON AVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59715",
"telephone_number": "406-579-9182",
"fax_number": "406-551-1208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORMING NUTRITION CARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A",
"authorized_official_last_name": "REDDAN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "PAIGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-579-9182",
"authorized_official_credential": "RD LN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M01100",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.