Nutrition Specialists Group LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION SPECIALISTS GROUP LLC

Practice address

172 E Lake Mary Ave
Lake Mary, FL 32746-3046

Phone

(321) 234-4045

NPI assigned

Jul 2, 2020

Organization subpart

No

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

Authorized official

Name

Deborah Michelle Zachry, MPH, RD, LDNNPI 1053935668

Title

Partner

Phone

(407) 491-2614

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Deborah Michelle Zachry, MPH, RD, LDN

  • Registered Dietitian
  • Longwood, FL
  • NPI 1053935668

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Michelle Ann McMurtery, RD, CSR, LDN

  • Registered Dietitian
  • Lake Mary, FL
  • NPI 1205133584

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1316564693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E LAKE MARY AVE",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463046",
            "telephone_number": "321-234-4045",
            "fax_number": "844-955-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E LAKE MARY AVE",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463046",
            "telephone_number": "321-234-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION SPECIALISTS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "ZACHRY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "407-491-2614",
        "authorized_official_credential": "MPH, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc.
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• Maria Montserrat Nunez-Aponte, DDS
• Amy Christine Nunez
• Jacqueline Elizabeth Nurse, NP
• Timothy Nyckowski, DO
• Madison O'Brien, RMHCI
• Robert W O'Brien, MA CMHC
• Adam J O'Connor
• Christopher Michael O'Connor Sr., PHD, LCSW

• Registered Dietitian in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.