Organization Active NPI

Pineapple Pathway, LLC

  • Registered Dietitian
  • Dothan, AL
National Provider Identifier
1154038909
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PINEAPPLE PATHWAY, LLC
Practice address
400 Westbrook Rd
Dothan, AL 36303-2971
Phone
(904) 451-7689
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Grady Murray, MS, RDN, LDN
Title
Ceo
Phone
(904) 451-7689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

400 Westbrook Rd
Dothan, AL 36303-2971

Mailing address

400 Westbrook Rd
Dothan, AL 36303-2971
Phone (904) 451-7689

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.pineapplepathway.com Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1154038909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WESTBROOK RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032971",
            "telephone_number": "904-451-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTBROOK RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032971",
            "telephone_number": "904-451-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEAPPLE PATHWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-451-7689",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.pineapplepathway.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "information",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Westbrook Rd",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363032971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.