Organization Active NPI

Nutrition Your Way LLC

  • Registered Dietitian
  • Wakefield, RI
National Provider Identifier
1154683142
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Ms. Amanda J Petty, RD
Title
Managing Member
Phone
(401) 783-8057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LDN00697 RI Primary

Addresses

Primary practice location

110 Woodbine Rd
Wakefield, RI 02879-2827

Mailing address

110 Woodbine Rd
Wakefield, RI 02879-2827
Phone (401) 783-8057

National Provider Directory

National Provider Directory

NPI Registry JSON

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": []
}

Other providers in Wakefield, RI

Sources for this page

  • 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.