Individual provider Active NPI

Bridget McGrath, CSCS, CNS, CES, APT

  • Nutritionist
  • South Lake Tahoe, CA
National Provider Identifier
1083035257
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
6227 Issued in NV
Practice address
4000 Lake Tahoe Blvd
Suite 8
South Lake Tahoe, CA 96150-7071
Phone
(530) 318-8666
NPI assigned
Dec 13, 2013
Last updated
Dec 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 6227 NV Primary

Addresses

Primary practice location

4000 Lake Tahoe Blvd
Suite 8
South Lake Tahoe, CA 96150-7071

Mailing address

PO Box 11574
Zephyr Cove, NV 89448-3574
Phone (530) 318-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
6227NVMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Fitness LLC Nutritionist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1083035257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11574",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894483574",
            "telephone_number": "530-318-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LAKE TAHOE BLVD",
            "address_2": "SUITE 8",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507071",
            "telephone_number": "530-318-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "BRIDGET",
        "credential": "CSCS, CNS, CES, APT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NV",
            "license": "6227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.