Active NPI
Odyssey Nutrition LLC
- Registered Dietitian
- Big Bear City, CA
National Provider Identifier
1376322016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- ODYSSEY NUTRITION LLC
- Practice address
- 441 Elysian Blvd
Big Bear City, CA 92314-9155 - Phone
- (707) 980-3637
- NPI assigned
- Sep 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Morini, RD, LDN
- Title
- Owner, Registered Dietitian
- Phone
- (707) 980-3637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
441 Elysian Blvd
Big Bear City, CA 92314-9155
Mailing address
441 Elysian Blvd
Big Bear City, CA 92314-9155
Phone (707) 980-3637
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743552000000",
"number": "1376322016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 ELYSIAN BLVD",
"city": "BIG BEAR CITY",
"state": "CA",
"postal_code": "923149155",
"telephone_number": "707-980-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 ELYSIAN BLVD",
"city": "BIG BEAR CITY",
"state": "CA",
"postal_code": "923149155",
"telephone_number": "707-980-3637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-22",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A",
"authorized_official_last_name": "MORINI",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
"authorized_official_telephone_number": "707-980-3637",
"authorized_official_credential": "RD, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Big Bear City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.