Organization Active NPI

Nutrition Unveiled, Inc

  • Registered Dietitian
  • Pasadena, CA
National Provider Identifier
1104557115
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION UNVEILED, INC
Practice address
2789 Madera Dr
Pasadena, CA 91107-1823
Phone
(626) 639-2175
Fax
(877) 516-4391
NPI assigned
Jun 21, 2022
Last updated
Jun 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2024

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

Authorized official

Name
Mrs. Ashley Marie Lytwyn, MS, RDNNPI 1770982142
Title
President
Phone
(860) 810-4673

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2789 Madera Dr
Pasadena, CA 91107-1823

Mailing address

2789 Madera Dr
Pasadena, CA 91107-1823
Phone (626) 639-2175

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.nutritionunveiled.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718496000000",
    "number": "1104557115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2789 MADERA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071823",
            "telephone_number": "626-639-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 MADERA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071823",
            "telephone_number": "626-639-2175",
            "fax_number": "877-516-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION UNVEILED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A",
        "authorized_official_last_name": "LYTWYN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-810-4673",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nutritionunveiled.com",
            "affiliation": "N",
            "address_1": "2789 Madera Dr",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911071823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; 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.