Organization Active NPI

My Mission Nutrition LLC

  • Nutrition Education Nutritionist
  • New Market, MD
National Provider Identifier
1033832035
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
MY MISSION NUTRITION LLC
Practice address
5553 Wicomico Cir
New Market, MD 21774-6257
Phone
(301) 471-3299
NPI assigned
Sep 23, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Elina Myers
Title
Ceo/President
Phone
(301) 471-3299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X NU Primary

Addresses

Primary practice location

5553 Wicomico Cir
New Market, MD 21774-6257

Mailing address

5553 Wicomico Cir
New Market, MD 21774-6257

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1033832035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5553 WICOMICO CIR",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5553 WICOMICO CIR",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746257",
            "telephone_number": "301-471-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MISSION NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "301-471-3299"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Market, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.