NPIMap

Organization Active NPI

Vivante Weight Loss and Health

  • Nutritionist
  • Albuquerque, NM
National Provider Identifier
1255863585
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
VIVANTE WEIGHT LOSS AND HEALTH
Practice address
6911 Taylor Ranch Rd NW
Suite C8
Albuquerque, NM 87120-2963
Phone
(505) 433-2674
NPI assigned
Mar 27, 2017
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Kathy Marie McIntyreNPI 1568993079
Title
Certified Health Coach/Nutritionist
Phone
(505) 433-2674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X

Addresses

Primary practice location

6911 Taylor Ranch Rd NW
Suite C8
Albuquerque, NM 87120-2963

Mailing address

6911 Taylor Ranch Rd NW
Suite C8
Albuquerque, NM 87120-2963
Phone (505) 433-2674

Other names 1

  • Success Weight Loss System LLC Former legal business name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1255863585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 TAYLOR RANCH RD NW",
            "address_2": "SUITE C8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202963",
            "telephone_number": "505-433-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 TAYLOR RANCH RD NW",
            "address_2": "SUITE C8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202963",
            "telephone_number": "505-433-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVANTE WEIGHT LOSS AND HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CERTIFIED HEALTH COACH/NUTRITIONIST",
        "authorized_official_telephone_number": "505-433-2674"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success Weight Loss System LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.