Active NPI
Ahtransform Health LLC
- Nutrition Education Nutritionist
- Valley Village, CA
National Provider Identifier
1174313308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.