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
- Last updated
- Apr 2, 2025
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Big Bear City, CA
- NPI 1093410938
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.