Soma Wellness

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

4082 Issued in OH

Legal business name

SOMA WELLNESS

Practice address

9030 Montgomery Rd
C/O Soma Wellness
Cincinnati, OH 45242-7741

Phone

(513) 505-6800

Fax

(513) 297-9429

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Jane E Snyder, RD

Title

Owner

Phone

(513) 505-6800

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1437414901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 MONTGOMERY RD",
            "address_2": "C/O SOMA WELLNESS",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427741",
            "telephone_number": "513-505-6800",
            "fax_number": "513-297-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 MONTGOMERY RD",
            "address_2": "C/O SOMA WELLNESS",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427741",
            "telephone_number": "513-505-6800",
            "fax_number": "513-297-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-505-6800",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "4082",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OH",
            "license": "7357",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "OH",
            "license": "4082",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "OH",
            "license": "4913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.