Soolman Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2760 Issued in MA

Legal business name

SOOLMAN NUTRITION LLC

Practice address

36 Bonwood Rd
Needham, MA 02492-1652

Phone

(781) 433-0470

Fax

(781) 433-0471

NPI assigned

Feb 15, 2012

Last updated

Oct 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonah Soolman, RD, LDN

Title

Registered Dietitian / Co-Owner

Phone

(781) 433-0470

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1053684415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BONWOOD RD",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024921652",
            "telephone_number": "781-433-0470",
            "fax_number": "781-433-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BONWOOD RD",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024921652",
            "telephone_number": "781-433-0470",
            "fax_number": "781-433-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOOLMAN NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "SOOLMAN",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN / CO-OWNER",
        "authorized_official_telephone_number": "781-433-0470",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Needham, MA
• Providers in Needham, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.