Premier Dietetics,LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PREMIER DIETETICS,LLC

Practice address

9630 US Highway 301 S
Riverview, FL 33578-5442

Phone

(813) 534-8189

NPI assigned

Jan 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Marcus Harris, RDNNPI 1265905608

Title

Ceo

Phone

(619) 565-9126

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcus Harris

  • Registered Dietitian
  • Riverview, FL
  • NPI 1265905608
  Authorized official Same address or phone

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1073086419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 LEDBURY COMMONS DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343000",
            "telephone_number": "813-534-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 US HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785442",
            "telephone_number": "813-534-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIETETICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-565-9126",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Crystal Prewitt
• Dustin Lee Price
• Seleste Brown Price, RPH
• Prime Care of Tampa Bay

• Registered Dietitian in Riverview, FL
• Providers in Riverview, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.