NPIMap

Organization Active NPI

Vineyard Nutrition LLC

  • Registered Dietitian
  • Edgartown, MA
National Provider Identifier
1376943126
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3260 Issued in MA
Legal business name
VINEYARD NUTRITION LLC
Practice address
256 Edgartown Vineyard Haven Rd
Edgartown, MA 02539-6933
Phone
(508) 627-3235
NPI assigned
Aug 29, 2014
Last updated
May 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Joshua LevyNPI 1861518326
Title
Owner
Phone
(508) 627-3235

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)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3260 MA Primary

Addresses

Primary practice location

256 Edgartown Vineyard Haven Rd
Edgartown, MA 02539-6933

Mailing address

95 W Tisbury Rd
Edgartown, MA 02539-7183

National Provider Directory

National Provider Directory

Locations

256 Edgartown Vineyard Haven Rd
Edgartown, MA 02539
Phone (508) 627-3235

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1376943126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W TISBURY RD",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025397183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 EDGARTOWN VINEYARD HAVEN RD",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025396933",
            "telephone_number": "508-627-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-627-3235"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgartown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.