Untamed Nutrition Therapy, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

UNTAMED NUTRITION THERAPY, LLC

Practice address

621 Forest Ave Ste 3a
Pacific Grove, CA 93950-4264

Phone

(517) 775-5008

Fax

(844) 444-0943

NPI assigned

Mar 13, 2022

Organization subpart

No

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

Authorized official

Name

Allison Leigh Bone, MS, RD, CEDRDNPI 1790227908

Title

Founder/Director

Phone

(517) 775-5008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Leigh Bone, MS, RDN, CEDRD

  • Registered Dietitian
  • Monterey, CA
  • NPI 1790227908

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Kyra J Arsenault, RD

  • Registered Dietitian
  • Monterey, CA
  • NPI 1902796501

  Dietitian, Registered

  NPD (past)
• Erika Ford, RDN

  • Registered Dietitian
  • Portage, MI
  • NPI 1699108589

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1013665637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 LAINE ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401130",
            "telephone_number": "517-775-5008",
            "fax_number": "844-444-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 FOREST AVE STE 3A",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504264",
            "telephone_number": "517-775-5008",
            "fax_number": "844-444-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTAMED NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A",
        "authorized_official_last_name": "BONE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "517-775-5008",
        "authorized_official_credential": "MS, RD, CEDRD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Torres, LMFT
• Christine Doan Tran, OTD, OTR/L
• Liem Hue Tran, PHARM.D
• Turner Psychology Services Inc
• Tsunami Turner, PSYD
• Brianna Valle-Gallegos
• James Van Kennen III
• Talli Van Sunder, DPT
• Adelina Vandenham, CPHT
• Marissa Vasquez, PH.D.

• Registered Dietitian in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.