Active NPI
Mieux Nutrition and Wellbeing LLC
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1427880665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MIEUX NUTRITION AND WELLBEING LLC
- Practice address
- 941 N Leithgow St
Philadelphia, PA 19123-1430 - Phone
- (646) 465-0475
- NPI assigned
- Aug 16, 2024
- 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
- Christine Ashley Berthoumieux, RD
- Title
- Owner
- Phone
- (646) 465-0475
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
941 N Leithgow St
Philadelphia, PA 19123-1430
Mailing address
2093 Philadelphia Pike # 9455
Claymont, DE 19703-2424
Phone (646) 465-0475
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.
-
- Registered Dietitian
- Philadelphia, PA
- NPI 1992537120
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723766400000",
"number": "1427880665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2093 PHILADELPHIA PIKE # 9455",
"city": "CLAYMONT",
"state": "DE",
"postal_code": "197032424",
"telephone_number": "646-465-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 N LEITHGOW ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191231430",
"telephone_number": "646-465-0475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIEUX NUTRITION AND WELLBEING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-16",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A",
"authorized_official_last_name": "BERTHOUMIEUX",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-465-0475",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.