NPIMap

Organization Active NPI

Primelife Nutrition, LLC

  • Registered Dietitian
  • Royersford, PA
National Provider Identifier
1235764812
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PRIMELIFE NUTRITION, LLC
Practice address
332 Main St
Royersford, PA 19468-2313
Phone
(484) 424-7177
NPI assigned
Mar 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Kristen RichardsonNPI 1588107080
Title
Owner
Phone
(610) 310-8321

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 1

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

Addresses

Primary practice location

332 Main St
Royersford, PA 19468-2313

Mailing address

109 Sycamore CT
Collegeville, PA 19426-2909
Phone (610) 310-8321

Other practice location 1

10 Campus Blvd
Newtown Square, PA 19073-3200
Phone (484) 424-7177

Other practice location 2

3954 Miller Rd Ste C
Newtown Square, PA 19073-2244
Phone (610) 310-8321

National Provider Directory

National Provider Directory

Locations

3954 Miller Rd
Ste C
Newtown Square, PA 19073
Phone (610) 310-8321

10 Campus Blvd
Newtown Square, PA 19073
Phone (484) 424-7177

508 Bridge St
Phoenixville, PA 19460

332 Main St
Royersford, PA 19468
Phone (484) 424-7177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1235764812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SYCAMORE CT",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262909",
            "telephone_number": "610-310-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 MAIN ST",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194682313",
            "telephone_number": "484-424-7177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Campus Blvd",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190733200",
            "country_code": "US",
            "telephone_number": "484-424-7177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3954 Miller Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190732244",
            "country_code": "US",
            "telephone_number": "610-310-8321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMELIFE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-310-8321"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.