Nutrition Solutions of Quincy, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164000168 Issued in IL

Legal business name

NUTRITION SOLUTIONS OF QUINCY, INC.

Practice address

2029 E 1850TH St
Coatsburg, IL 62325-2102

Phone

(217) 242-3164

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Georgia A Janssen, MS RD LDN

Title

President

Phone

(217) 228-2413

Specialties & licenses 1

Addresses

Other names 1

• Nutrition Solutions Other name

Locations

Practitioners 2

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

• Kimberly M Otter, RD LDN

  • Registered Dietitian
  • Quincy, IL
  • NPI 1245232909

  Dietitian, Registered

  NPD (past)
• Mindy Lee Wallace, RD LDN

  • Registered Dietitian
  • Quincy, IL
  • NPI 1851305304

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1104944230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 E 1850TH ST",
            "city": "COATSBURG",
            "state": "IL",
            "postal_code": "623252102",
            "telephone_number": "217-455-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 E 1850TH ST",
            "city": "COATSBURG",
            "state": "IL",
            "postal_code": "623252102",
            "telephone_number": "217-242-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION SOLUTIONS OF QUINCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-228-2413",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164000168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.