NPIMap

Organization Active NPI

Innate Living Inc

  • Registered Dietitian
  • Weston, WI
National Provider Identifier
1235832098
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
INNATE LIVING INC
Practice address
9950 Siberian Dr
Weston, WI 54476-5624
Phone
(715) 218-1734
Fax
(808) 320-1274
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Mrs. Taylor Faye Gould, RDN
Title
Owner
Phone
(715) 218-1734

Specialties & licenses 1

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

Addresses

Primary practice location

9950 Siberian Dr
Weston, WI 54476-5624

Mailing address

9950 Siberian Dr
Weston, WI 54476-5624
Phone (715) 218-1734

Other practice location 1

1152 Koko Head Ave Ste 205
Honolulu, HI 96816-3700
Phone (808) 383-2081

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1235832098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 SIBERIAN DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765624",
            "telephone_number": "715-218-1734",
            "fax_number": "808-320-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 SIBERIAN DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765624",
            "telephone_number": "715-218-1734",
            "fax_number": "808-320-1274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1152 Koko Head Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968163700",
            "country_code": "US",
            "telephone_number": "808-383-2081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNATE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-218-1734",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "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 Weston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.