Organization Active NPI

Nutrition Therapy Services, Inc

  • Registered Dietitian
  • Denver, NC
National Provider Identifier
1073201133
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION THERAPY SERVICES, INC
Practice address
4688 Mountain Creek Ave Ste 102
Denver, NC 28037-6803
Phone
(704) 619-7545
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Authorized official

Name
Wendi Custer, RD
Title
Dietitian
Phone
(704) 619-7545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4688 Mountain Creek Ave Ste 102
Denver, NC 28037-6803

Mailing address

5734 Tipperary Dr
Denver, NC 28037-7581
Phone (704) 740-5681

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1073201133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 TIPPERARY DR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377581",
            "telephone_number": "704-740-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4688 MOUNTAIN CREEK AVE STE 102",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280376803",
            "telephone_number": "704-619-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "CUSTER",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "704-619-7545",
        "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": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.