Organization Active NPI

Nutrition and Beyond LLC

  • Metabolic Nutrition Registered Dietitian
  • Justice, IL
National Provider Identifier
1427399229
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
164.005670 Issued in IL
Legal business name
NUTRITION AND BEYOND LLC
Practice address
7120 S 86TH CT
Justice, IL 60458-1152
Phone
(855) 276-5212
NPI assigned
Mar 5, 2013
Last updated
Mar 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Ms. Ellen MuhammadNPI 1265770176
Title
Owner
Phone
(855) 276-5212

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 164.005670 IL
Metabolic Nutrition Registered Dietitian 133VN1006X 164.005670 IL Primary

Addresses

Primary practice location

7120 S 86TH CT
Justice, IL 60458-1152

Mailing address

7120 S 86TH CT
Justice, IL 60458-1152
Phone (855) 276-5212

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, 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": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1427399229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 S 86TH CT",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604581152",
            "telephone_number": "855-276-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 S 86TH CT",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604581152",
            "telephone_number": "855-276-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION AND BEYOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-276-5212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "164.005670",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "164.005670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Justice, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.