Medical Nutrition Group

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1026 Issued in MS

Legal business name

MEDICAL NUTRITION GROUP

Practice address

250 Lake Village Dr
Madison, MS 39110-6522

Phone

(228) 493-2877

NPI assigned

Feb 3, 2009

Last updated

Feb 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kati L Loyacono, MS, RD, LDNPI 1992942817

Title

Director

Phone

(228) 493-2877

Specialties & licenses 1

Addresses

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.

• Kati L Loyacono, MS, RD, LD

  • Registered Dietitian
  • Madison, MS
  • NPI 1992942817

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1174761860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LAKE VILLAGE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106522",
            "telephone_number": "228-493-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LAKE VILLAGE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106522",
            "telephone_number": "228-493-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL NUTRITION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "LOYACONO",
        "authorized_official_first_name": "KATI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "228-493-2877",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Madison, MS
• Providers in Madison, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.