NPIMap

Organization Active NPI

Nutrition Consultants & Associates LLC

  • Registered Dietitian
  • Anderson, IN
National Provider Identifier
1245371889
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37000036A Issued in IN
Legal business name
NUTRITION CONSULTANTS & ASSOCIATES LLC
Doing business as
NCA Therapy LLC
Practice address
800 Main St Ste 204
Anderson, IN 46016-1559
Phone
(765) 644-0500
Fax
(765) 764-4051
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Patty Pettit Kovacs, MS RD CD
Title
Owner
Phone
(765) 620-8400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 37000036A IN Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 31002030A IN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 22004386A IN

Addresses

Primary practice location

800 Main St Ste 204
Anderson, IN 46016-1559

Mailing address

800 Main St Ste 204
Anderson, IN 46016-1559
Phone (765) 644-0500

Other identifiers 1

IdentifierTypeStateIssuer
200732410OtherINGROUP ID NUMBER

Other names 1

  • NCA Therapy LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1245371889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST STE 204",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161559",
            "telephone_number": "765-644-0500",
            "fax_number": "765-644-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST STE 204",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161559",
            "telephone_number": "765-644-0500",
            "fax_number": "765-764-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION CONSULTANTS & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "PETTIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-620-8400",
        "authorized_official_credential": "MS RD CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37000036A",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31002030A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004386A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID NUMBER",
            "identifier": "200732410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCA Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.