NPIMap

Organization Active NPI

Nutrition 1St

  • Registered Dietitian
  • Brighton, MI
National Provider Identifier
1053563593
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
833070 Issued in MI
Legal business name
NUTRITION 1ST
Practice address
11994 Hyne Rd
Brighton, MI 48114-9234
Phone
(810) 333-2872
Fax
(248) 601-2217
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Nanette Cameron, NSTNPI 1629141049
Title
President
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 833070 MI Primary

Addresses

Primary practice location

11994 Hyne Rd
Brighton, MI 48114-9234

Mailing address

11994 Hyne Rd
Brighton, MI 48114-9234
Phone (810) 333-2872

National Provider Directory

National Provider Directory
Tax ID family
Evecon Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1053563593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11994 HYNE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149234",
            "telephone_number": "810-333-2872",
            "fax_number": "248-601-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11994 HYNE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149234",
            "telephone_number": "810-333-2872",
            "fax_number": "248-601-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION 1ST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-333-2872",
        "authorized_official_credential": "NST"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "833070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.