Iris Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

IRIS NUTRITION, LLC

Practice address

110 Prospect St FL 2
Lodi, NJ 07644-2335

Phone

(650) 518-0820

NPI assigned

May 9, 2026

Last updated

May 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Anne Coronado, RDNPI 1629815543

Title

Registered Dietitian

Phone

(650) 518-0820

Specialties & licenses 1

Addresses

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.

• Anne Coronado, RD

  • Registered Dietitian
  • Paramus, NJ
  • NPI 1629815543

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1778284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778284800000",
    "number": "1306774567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PROSPECT ST FL 2",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442335",
            "telephone_number": "650-518-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROSPECT ST FL 2",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442335",
            "telephone_number": "650-518-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "650-518-0820",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Manansala Hernandez, PT
• Emily Hewett, OTR/L
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• Jonathan Thurm DPM LLC
• Kamal K. Dutta LLC

• Registered Dietitian in Lodi, NJ
• Providers in Lodi, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; 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.