NPIMap

Organization Active NPI

CSR Nutrition

  • Health Service Clinic/Center
  • Greenacres, FL
National Provider Identifier
1417564295
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CSR NUTRITION
Practice address
129 Harbor Lake Cir
Greenacres, FL 33413-2125
Phone
(201) 844-0342
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Christina S Raphael, RD, LD/NNPI 1760096259
Title
Owner/ Sole Proprietor
Phone
(201) 844-0342

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

129 Harbor Lake Cir
Greenacres, FL 33413-2125

Mailing address

129 Harbor Lake Cir
Greenacres, FL 33413-2125
Phone (201) 844-0342

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": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1417564295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 HARBOR LAKE CIR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132125",
            "telephone_number": "201-844-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 HARBOR LAKE CIR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132125",
            "telephone_number": "201-844-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSR NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "RAPHAEL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ SOLE PROPRIETOR",
        "authorized_official_telephone_number": "201-844-0342",
        "authorized_official_credential": "RD, LD/N"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.