NPIMap

Organization Active NPI

Bionutrax LLC

  • Nutrition Education Nutritionist
  • Santa Monica, CA
National Provider Identifier
1346935665
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
BIONUTRAX LLC
Practice address
1806 9TH St Apt a
Santa Monica, CA 90404-4577
Phone
(323) 481-1787
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Dr. Aikaterini Kathy Xydis, DCN, CNS, LDNNPI 1730605668
Title
Owner, Doctor of Clinical Nutrition
Phone
(323) 481-1787

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
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

1806 9TH St Apt a
Santa Monica, CA 90404-4577

Mailing address

1806 9TH St Apt a
Santa Monica, CA 90404-4577
Phone (323) 481-1787

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": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1346935665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 9TH ST APT A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044577",
            "telephone_number": "323-481-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 9TH ST APT A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044577",
            "telephone_number": "323-481-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIONUTRAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "XYDIS",
        "authorized_official_first_name": "AIKATERINI",
        "authorized_official_middle_name": "KATHY",
        "authorized_official_title_or_position": "OWNER, DOCTOR OF CLINICAL NUTRITION",
        "authorized_official_telephone_number": "323-481-1787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DCN, CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.