NPIMap

Organization Active NPI

Brain Body Bite LLC

  • Registered Dietitian
  • Tinley Park, IL
National Provider Identifier
1275224404
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BRAIN BODY BITE LLC
Practice address
6701 South St Apt 211
Tinley Park, IL 60477-4357
Phone
(708) 925-2025
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Paige Manso, RDN, LDNNPI 1497468425
Title
Founder
Phone
(708) 925-2025

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: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

6701 South St Apt 211
Tinley Park, IL 60477-4357

Mailing address

6701 South St Apt 211
Tinley Park, IL 60477-4357
Phone (708) 925-2025

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": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1275224404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SOUTH ST APT 211",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774357",
            "telephone_number": "708-925-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SOUTH ST APT 211",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774357",
            "telephone_number": "708-925-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN BODY BITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "MANSO",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "708-925-2025",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.