Organization Active NPI

Nextgen Nutrition, LLC

  • Health Service Clinic/Center
  • Sacramento, CA
National Provider Identifier
1245944792
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NEXTGEN NUTRITION, LLC
Practice address
2108 N St Ste N
Sacramento, CA 95816-5712
Phone
(813) 486-5547
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Brooke Elyse Robinson, MS, RDNPI 1922721240
Title
Owner/Dietitian
Phone
(813) 486-5547

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2108 N St Ste N
Sacramento, CA 95816-5712

Mailing address

1770 Evergreen St Apt 19
San Diego, CA 92106-1975
Phone (813) 486-5547

Other practice location 1

4th St N STE 300
St. Petersburg, FL 33702
Phone (813) 486-5547

Other practice location 2

1770 Evergreen St Apt 19
San Diego, CA 92106-1975
Phone (813) 486-5547

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": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1245944792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 EVERGREEN ST APT 19",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061975",
            "telephone_number": "813-486-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 N ST STE N",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712",
            "telephone_number": "813-486-5547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4th St N STE 300",
            "address_purpose": "LOCATION",
            "city": "St. Petersburg",
            "state": "FL",
            "postal_code": "33702",
            "country_code": "US",
            "telephone_number": "813-486-5547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1770 Evergreen St Apt 19",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921061975",
            "country_code": "US",
            "telephone_number": "813-486-5547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEXTGEN NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "ELYSE",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "813-486-5547",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.