Cherry Tree Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CHERRY TREE NUTRITION, LLC

Practice address

38 Majestic CT
Fenton, MO 63026

Phone

(314) 707-2292

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Christina R Baeres, MD, RD, LDNNPI 1073703617

Title

Manager

Phone

(314) 707-2292

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christina R Baeres, MS, RD, LD

  • Registered Dietitian
  • Fenton, MO
  • NPI 1073703617

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1316544737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 OLD SMIZER MILL RD # 174",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263553",
            "telephone_number": "314-707-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MAJESTIC CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "63026",
            "telephone_number": "314-707-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY TREE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "BAERES",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-707-2292",
        "authorized_official_credential": "MD, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celtic Private Care of Il & Mo, LLC
• Center for Advanced Foot & Ankle Surgery, Inc.
• Cep America LLC
• Janice S Ceriotti
• Sheri Chau, PHARM.D.
• Chiropractic Accident Center of Fenton, P.C.
• Chiropractic Family Wellness Center LLC
• Chiropractic Wellness Center
• Chiropractic Wellness Center of St Louis LLC
• Chotchai Srisuro, M.D., Inc.

• Registered Dietitian in Fenton, MO
• Providers in Fenton, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.