Organization Active NPI

The Nutrition Specialist, LLC

  • Registered Dietitian
  • Williamsport, PA
National Provider Identifier
1205267630
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003227 Issued in PA
Legal business name
THE NUTRITION SPECIALIST, LLC
Practice address
460 Market St
Suite 212
Williamsport, PA 17701-6385
Phone
(570) 745-3776
NPI assigned
Dec 11, 2013
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Tanya L Williams, RD, LDNNPI 1881948883
Title
Clinical Dietitian
Phone
(570) 745-3776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003227 PA Primary
Registered Dietitian 133V00000X DN004977 PA

Addresses

Primary practice location

460 Market St
Suite 212
Williamsport, PA 17701-6385

Mailing address

460 Market St
Suite 212
Williamsport, PA 17701-6385
Phone (570) 745-3776

National Provider Directory

National Provider Directory

Locations

460 Market St
Ste 212
Williamsport, PA 17701
Phone (570) 745-3776

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": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1205267630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MARKET ST",
            "address_2": "SUITE 212",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016385",
            "telephone_number": "570-745-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MARKET ST",
            "address_2": "SUITE 212",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016385",
            "telephone_number": "570-745-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NUTRITION SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIETITIAN",
        "authorized_official_telephone_number": "570-745-3776",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003227",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.