Imagine Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

IMAGINE NUTRITION LLC

Practice address

218 N Dallas Ave
Pittsburgh, PA 15208-2309

Phone

(724) 388-5804

Fax

(888) 764-9766

NPI assigned

Feb 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Nguyen, RDN

Title

Owner

Phone

(724) 388-5804

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1013541606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N DALLAS AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152082309",
            "telephone_number": "724-388-5804",
            "fax_number": "888-764-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N DALLAS AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152082309",
            "telephone_number": "724-388-5804",
            "fax_number": "888-764-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-388-5804",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.