NPIMap

Organization Active NPI

Olive Tree Nutrition LLC

  • Registered Dietitian
  • Elkridge, MD
National Provider Identifier
1225575715
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004367 Issued in GA
Legal business name
OLIVE TREE NUTRITION LLC
Practice address
7997 Potter PL
Elkridge, MD 21075-8229
Phone
(404) 704-2068
NPI assigned
Jan 23, 2017
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Rahaf Al BochiNPI 1255874194
Title
Registered Dietitian
Phone
(404) 704-2068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LD004367 GA Primary

Addresses

Primary practice location

7997 Potter PL
Elkridge, MD 21075-8229

Mailing address

7997 Potter PL
Elkridge, MD 21075-8229
Phone (404) 704-2068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1225575715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7997 POTTER PL",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210758229",
            "telephone_number": "404-704-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7997 POTTER PL",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210758229",
            "telephone_number": "404-704-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "AL BOCHI",
        "authorized_official_first_name": "RAHAF",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "404-704-2068"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.