Individual provider Active NPI

Tamara Steinitz, RDN, NBC-HWC

  • Registered Dietitian
  • Logan, UT
National Provider Identifier
1144867664
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
110294-4901 Issued in UT
Practice address
65 Heritage CV
Logan, UT 84321-3300
Phone
(435) 757-5624
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 110294-4901 UT Primary

Addresses

Primary practice location

65 Heritage CV
Logan, UT 84321-3300

Mailing address

65 Heritage CV
Logan, UT 84321-3300
Phone (435) 757-5624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 7, 2020 through May 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110294-4901UTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1144867664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HERITAGE CV",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213300",
            "telephone_number": "435-757-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HERITAGE CV",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213300",
            "telephone_number": "435-757-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINITZ",
        "first_name": "TAMARA",
        "credential": "RDN, NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "110294-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.