Active NPI
Evecon Inc
- Registered Dietitian
- Troy, MI
National Provider Identifier
1023311966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- EVECON INC
- Practice address
- 4550 Investment Dr
Troy, MI 48098-6363 - Phone
- (248) 952-5083
- NPI assigned
- Dec 15, 2010
- 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
- Ms. Nanette Cameron, MNT
- Title
- Owner
- Phone
- (810) 333-2872
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
4550 Investment Dr
Troy, MI 48098-6363
Mailing address
2805 Parklawn Dr
Brighton, MI 48114-7546
Phone (810) 333-2872
Other names 1
- Nutrition 1st
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Evecon Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Dietitian
- Brighton, MI
- NPI 1053563593
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Brighton, MI
- NPI 1629141049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292371200000",
"number": "1023311966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 PARKLAWN DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481147546",
"telephone_number": "810-333-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 INVESTMENT DR",
"city": "TROY",
"state": "MI",
"postal_code": "480986363",
"telephone_number": "248-952-5083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVECON INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-15",
"last_updated": "2010-12-15",
"status": "A",
"authorized_official_last_name": "CAMERON",
"authorized_official_first_name": "NANETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-333-2872",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MNT"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nutrition 1st",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.