Nutrition Your Way LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN00697 Issued in RI

Legal business name

NUTRITION YOUR WAY LLC

Practice address

110 Woodbine Rd
Wakefield, RI 02879-2827

Phone

(401) 783-8057

NPI assigned

Jun 14, 2012

Last updated

Jun 14, 2012By 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

Ms. Amanda J Petty, RDNPI 1962760389

Title

Managing Member

Phone

(401) 783-8057

Specialties & licenses 1

Addresses

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.

• Amanda J Petty, RD

  • Registered Dietitian
  • Wakefield, RI
  • NPI 1962760389
  Authorized official Same address or phone

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1154683142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WOODBINE RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792827",
            "telephone_number": "401-783-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WOODBINE RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792827",
            "telephone_number": "401-783-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION YOUR WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "401-783-8057",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent C Nigrelli, DC
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• Lauren C Noel, M.D.
• Northeast Substance Abuse Professionals, LLC
• Amy Ciesynski O'Brien, OTR
• Sara Anne O'Cain, PT
• Christine O'Connor, LPN, AE-C
• Briana Nicole O'Grady, DPT
• Timothy J O'Mara, M.D.

• Registered Dietitian in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Registered Dietitian in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.