NPIMap

Organization Active NPI

Lifequality Nutrition Network Cooperative Inc.

Doing business as Michelle Missy Porteous, MS, RD, CDE

  • Registered Dietitian
  • Riverside, CA
National Provider Identifier
1164849832
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
814382 Issued in CA
Legal business name
LIFEQUALITY NUTRITION NETWORK COOPERATIVE INC.
Doing business as
Michelle Missy Porteous, MS, RD, CDE
Practice address
11801 Pierce St Suite 200
Riverside, CA 92505-4408
Phone
(951) 750-0085
Fax
(951) 582-2787
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Michelle Missy Porteous, MS, RD, CDENPI 1003967712
Title
President
Phone
(951) 317-7657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 814382 CA Primary

Addresses

Primary practice location

11801 Pierce St Suite 200
Riverside, CA 92505-4408

Mailing address

PO Box 78653
Corona, CA 92877-0155
Phone (951) 317-7657

Other names 2

  • Michelle Missy Porteous, MS, RD, CDE Doing business as
  • LifeQuality, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

901 San Bernardino Rd
Ste 101
Upland, CA 91786
Phone (562) 236-3432

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1164849832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78653",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770155",
            "telephone_number": "951-317-7657",
            "fax_number": "951-278-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 PIERCE ST SUITE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925054408",
            "telephone_number": "951-750-0085",
            "fax_number": "951-582-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEQUALITY NUTRITION NETWORK COOPERATIVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "PORTEOUS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MISSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-317-7657",
        "authorized_official_credential": "MS, RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "814382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Missy Porteous, MS, RD, CDE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeQuality, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.