NPIMap

Organization Active NPI

Leg Up Nutrition, LLC

  • Registered Dietitian
  • Salem, MA
National Provider Identifier
1265112817
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LEG UP NUTRITION, LLC
Practice address
203 Washington St Apt 166
Salem, MA 01970-3607
Phone
(978) 712-0772
NPI assigned
Jul 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Allegra Egizi, MS, RD, LDNNPI 1184234833
Title
Owner, Registered Dietitian
Phone
(978) 712-0772

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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

203 Washington St Apt 166
Salem, MA 01970-3607

Mailing address

203 Washington St Apt 166
Salem, MA 01970-3607
Phone (978) 712-0772

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": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1265112817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WASHINGTON ST APT 166",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703607",
            "telephone_number": "978-712-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WASHINGTON ST APT 166",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703607",
            "telephone_number": "978-712-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEG UP NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-02",
        "status": "A",
        "authorized_official_last_name": "EGIZI",
        "authorized_official_first_name": "ALLEGRA",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "978-712-0772",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "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 Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.