Organization Active NPI

Odyssey Nutrition LLC

  • Registered Dietitian
  • Big Bear City, CA
National Provider Identifier
1376322016
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Apr 2, 2025

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.