Organization Active NPI

Kiera Sullivan Nutrition

  • Obesity and Weight Management Nutrition Registered Dietitian
  • New York, NY
National Provider Identifier
1235961855
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
Legal business name
KIERA SULLIVAN NUTRITION
Practice address
171 Avenue a Apt 2B
New York, NY 10009-4556
Phone
(510) 406-4100
NPI assigned
Aug 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Kiera Sullivan, RDNPI 1336920081
Title
Ceo/Founder
Phone
(510) 406-4100

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
Obesity and Weight Management Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1201X Primary

Addresses

Primary practice location

171 Avenue a Apt 2B
New York, NY 10009-4556

Mailing address

171 Avenue a Apt 2B
New York, NY 10009-4556
Phone (510) 406-4100

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.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1235961855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 AVENUE A APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094556",
            "telephone_number": "510-406-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 AVENUE A APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094556",
            "telephone_number": "510-406-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIERA SULLIVAN NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KIERA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "510-406-4100",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

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