Organization Active NPI

Wholesome Nutrition, LLC.

  • Medical Specialty Clinic/Center
  • Horsham, PA
National Provider Identifier
1265778187
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
DN003959 Issued in PA
Legal business name
WHOLESOME NUTRITION, LLC.
Practice address
400 Horsham Rd
Horsham, PA 19044-2140
Phone
(215) 675-4535
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Casey McKinney, RD, LDN, CDE
Title
Registered Dietitian
Phone
(717) 576-6305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X DN003959 PA Primary

Addresses

Primary practice location

400 Horsham Rd
Horsham, PA 19044-2140

Mailing address

305 Greenhill Rd
Willow Grove, PA 19090-2812
Phone (717) 576-6305

National Provider Directory

National Provider Directory

Locations

400 Horsham Rd
Horsham, PA 19044
Phone (215) 442-9060

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": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1265778187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 GREENHILL RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902812",
            "telephone_number": "717-576-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HORSHAM RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442140",
            "telephone_number": "215-675-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME NUTRITION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "717-576-6305",
        "authorized_official_credential": "RD, LDN, CDE"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "DN003959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.