Organization Active NPI

Tandem Nutrition LLC

  • Nutritionist
  • Indianapolis, IN
National Provider Identifier
1174312425
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
TANDEM NUTRITION LLC
Practice address
6505 Miramar CT
Indianapolis, IN 46250-3415
Phone
(225) 454-4435
NPI assigned
May 3, 2025
Last updated
May 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Authorized official

Name
Garrett Serd, RD
Title
Ceo
Phone
(225) 454-4435

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X

Addresses

Primary practice location

6505 Miramar CT
Indianapolis, IN 46250-3415

Mailing address

6505 Miramar CT
Indianapolis, IN 46250-3415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1174312425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 MIRAMAR CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 MIRAMAR CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503415",
            "telephone_number": "225-454-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "SERD",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-454-4435",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; 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.