Avatar Wellness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

AVATAR WELLNESS LLC

Practice address

250 Pine St
Lockport, NY 14094-4927

Phone

(716) 425-1499

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Zach Finney, RDNPI 1639950090

Title

Owner

Phone

(716) 425-1499

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.

• Zach Finney, RD

  • Registered Dietitian
  • Lockport, NY
  • NPI 1639950090

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1083496038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PINE ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944927",
            "telephone_number": "716-425-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PINE ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944927",
            "telephone_number": "716-425-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVATAR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "FINNEY",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-425-1499",
        "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": []
}

• Brent Paul Ast, AEMT-CC
• Sirribi Atanga
• Emma Susan Atherton, DC
• Depinderpal Singh Aujla
• Authentically Whole Mental Health Counseling, PLLC
• Janet Kay Babcock
• Backman Family Chiropractic PLLC
• Deborah K Backman, DC
• Justin Bader, PT, DPT
• William J Baier, MD

• All providers in Lockport, NY
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.