NPIMap

Organization Active NPI

Union Hospital of Cecil County

Doing business as Union Nutrition Services

  • Nutrition Education Nutritionist
  • Elkton, MD
National Provider Identifier
1215217682
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
UNION HOSPITAL OF CECIL COUNTY
Doing business as
Union Nutrition Services
Practice address
137 W High St
Suite 1B
Elkton, MD 21921-8604
Phone
(410) 620-3548
NPI assigned
Aug 17, 2011
Last updated
Apr 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Judy Tyler Reisen, MD
Title
Corporate Director of Revenue Cycle
Phone
(410) 398-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

137 W High St
Suite 1B
Elkton, MD 21921-8604

Mailing address

677 E Pulaski Hwy
Suite B
Elkton, MD 21921-6037

Other names 1

  • Union Nutrition Services Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1215217682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 E PULASKI HWY",
            "address_2": "SUITE B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W HIGH ST",
            "address_2": "SUITE 1B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219218604",
            "telephone_number": "410-620-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL OF CECIL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "REISEN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "410-398-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Nutrition Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.