Organization Active NPI

Ahtransform Health LLC

  • Nutrition Education Nutritionist
  • Valley Village, CA
National Provider Identifier
1174313308
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
AHTRANSFORM HEALTH LLC
Practice address
12301 Magnolia Blvd Apt 206
Valley Village, CA 91607-2518
Phone
(407) 371-9265
NPI assigned
May 9, 2025
Last updated
May 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Mr. Andre Luiz Zipperer Habowsky
Title
Ceo
Phone
(407) 371-9265

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X NU Primary
Registered Dietitian 133V00000X NU
Pediatric Nutrition Registered Dietitian 133VN1004X NU
Metabolic Nutrition Registered Dietitian 133VN1006X NU
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X NU
Sports Dietetics Nutrition Registered Dietitian 133VN1501X NU

Addresses

Primary practice location

12301 Magnolia Blvd Apt 206
Valley Village, CA 91607-2518

Mailing address

12301 Magnolia Blvd Apt 206
Valley Village, CA 91607-2518
Phone (407) 371-9265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251107002233 CA Part B Supplier - Clinic/Group Practice 9830689843 Receives reassigned benefits from 2 practitioners
Practice locations: Valley Village, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1174313308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 MAGNOLIA BLVD APT 206",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072518",
            "telephone_number": "407-371-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 MAGNOLIA BLVD APT 206",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072518",
            "telephone_number": "407-371-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHTRANSFORM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "ZIPPERER HABOWSKY",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "LUIZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-371-9265",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.