Active NPI
Nutriwise LLC
- Registered Dietitian
- Cherry Hill, NJ
National Provider Identifier
1093144602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ADA# 809015
- Legal business name
- NUTRIWISE LLC
- Practice address
- 439 Burning Tree Rd
Cherry Hill, NJ 08034-3103 - Phone
- (856) 905-1525
- Fax
- (609) 482-8630
- NPI assigned
- Nov 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Catherine Maria Harrison, RD, CDE
- Title
- Owner, Nutriwise LLC
- Phone
- (856) 905-1525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ADA# 809015 | NJ | Primary |
Addresses
Primary practice location
439 Burning Tree Rd
Cherry Hill, NJ 08034-3103
Mailing address
439 Burning Tree Rd
Cherry Hill, NJ 08034-3103
Phone (856) 905-1525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982036323 | Other | NJ | INDIVIDUAL NPI |
Other names 1
- Nutrition Consulting
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Cherry Hill, NJ
- NPI 1982036323
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383523200000",
"number": "1093144602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 BURNING TREE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343103",
"telephone_number": "856-905-1525",
"fax_number": "609-482-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 BURNING TREE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343103",
"telephone_number": "856-905-1525",
"fax_number": "609-482-8630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRIWISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "OWNER, NUTRIWISE LLC",
"authorized_official_telephone_number": "856-905-1525",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RD, CDE"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "ADA# 809015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1982036323",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nutrition Consulting",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.