Up-Level Nutrition Coaching, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UP-LEVEL NUTRITION COACHING, LLC

Practice address

226 E Vine St
La Grange, TX 78945-1658

Phone

(979) 702-8752

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Violeta Martinez, RDNPI 1952945917

Title

Owner

Phone

(979) 702-8752

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Violeta Martinez

  • Registered Dietitian
  • Weimar, TX
  • NPI 1952945917
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1295455954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E VINE ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451658",
            "telephone_number": "979-702-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E VINE ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451658",
            "telephone_number": "979-702-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP-LEVEL NUTRITION COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-702-8752",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1952945917",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://my.practicebetter.io/#/5d9497f42a982303e8a727b1/bookings",
            "affiliation": "N",
            "address_1": "226 E Vine St",
            "city": "LA Grange",
            "state": "TX",
            "country_code": "US",
            "postal_code": "789451658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reina Torres, CPHT
• Thien Tran
• Shelby Ann Trlicek, PHARMD
• Travis Eugene Ulrich, PHARMD
• Ultimate Rehab, PLLC
• Shanelle Varnell
• Geralyn Vasut, RPH
• Laura Vestal, COTA
• Mayra Vlasac, BSN,RN
• Amber Waitschies

• Clinic/Center in La Grange, TX
• Providers in La Grange, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.