The Nutrition Collective L.L.C.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE NUTRITION COLLECTIVE L.L.C.

Practice address

2283 Shevlin St
Ferndale, MI 48220-1176

Phone

(248) 310-0257

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Sanna-Gouin, RDNPI 1184228249

Title

Owner, Clinical Dietitian

Phone

(248) 310-0257

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelly Sanna-Gouin, RD

  • Registered Dietitian
  • Ferndale, MI
  • NPI 1184228249

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1073109245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 SHEVLIN ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201176",
            "telephone_number": "248-310-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 SHEVLIN ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201176",
            "telephone_number": "248-310-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NUTRITION COLLECTIVE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "SANNA-GOUIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIETITIAN",
        "authorized_official_telephone_number": "248-310-0257",
        "authorized_official_credential": "RD"
    },
    "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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• Registered Dietitian in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.