Organization Active NPI

Core Nutrition LLC

  • Registered Dietitian
  • Columbia, MD
National Provider Identifier
1225639115
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CORE NUTRITION LLC
Doing business as
Core Wellness
Practice address
10201 Wincopin Cir # 701
Columbia, MD 21044-3461
Phone
(240) 274-2048
NPI assigned
Nov 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Tiffany N Carsten, RD. LD
Title
Owner
Phone
(240) 274-2048

Specialties & licenses 1

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

Addresses

Primary practice location

10201 Wincopin Cir # 701
Columbia, MD 21044-3461

Mailing address

10201 Wincopin Cir Apt 701
Columbia, MD 21044-3461
Phone (240) 274-2048

Other names 1

  • Core Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1225639115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 WINCOPIN CIR APT 701",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443461",
            "telephone_number": "240-274-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 WINCOPIN CIR # 701",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443461",
            "telephone_number": "240-274-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "CARSTEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-274-2048",
        "authorized_official_credential": "RD. LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.