Nutrastead & Co

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRASTEAD & CO

Practice address

12764 Solomon Rd
Dewitt, IL 61735-9448

Phone

(217) 520-3209

NPI assigned

Jul 9, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moriah Gramm, MS, RD, LDNNPI 1316504020

Title

Registered Dietitian

Phone

(217) 520-3209

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moriah Gramm, MS, RD, LDN

  • Registered Dietitian
  • Dewitt, IL
  • NPI 1316504020

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1104497189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12764 SOLOMON RD",
            "city": "DEWITT",
            "state": "IL",
            "postal_code": "617359448",
            "telephone_number": "217-520-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12764 SOLOMON RD",
            "city": "DEWITT",
            "state": "IL",
            "postal_code": "617359448",
            "telephone_number": "217-520-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRASTEAD & CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "GRAMM",
        "authorized_official_first_name": "MORIAH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "217-520-3209",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moriah Gramm, MS, RD, LDN

• Registered Dietitian in Dewitt, IL
• Providers in Dewitt, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.