Advanced Nutrition Services, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ADVANCED NUTRITION SERVICES, LLC

Practice address

2920 Carlisle Blvd NE, Ste A1
Albuquerque, NM 87110-2867

Phone

(505) 308-4797

Fax

(855) 951-4406

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Hannah Contrucci, RDN, LDNPI 1356954929

Title

Owner

Phone

(505) 459-5143

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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

• Hannah Contrucci, RDN, LD

  • Registered Dietitian
  • Albuquerque, NM
  • NPI 1356954929

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1083227656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 FAYE PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125510",
            "telephone_number": "505-459-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 CARLISLE BLVD NE, STE A1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102867",
            "telephone_number": "505-308-4797",
            "fax_number": "855-951-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NUTRITION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "CONTRUCCI",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-459-5143",
        "authorized_official_credential": "RDN, LD"
    },
    "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 Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Registered Dietitian in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.