NPIMap

Organization Active NPI

Valentine Nutrition LLC

  • Registered Dietitian
  • Woodland Park, NJ
National Provider Identifier
1437416757
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1044070 Issued in NJ
Legal business name
VALENTINE NUTRITION LLC
Practice address
1225 McBride Ave
Suite 200
Woodland Park, NJ 07424-3812
Phone
(862) 703-9232
Fax
(973) 629-5757
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Ms. Kathryn Lee Valentine, RD
Title
Owner
Phone
(862) 703-9232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1044070 NJ Primary

Addresses

Primary practice location

1225 McBride Ave
Suite 200
Woodland Park, NJ 07424-3812

Mailing address

1225 McBride Ave
Suite 200
Woodland Park, NJ 07424-3812
Phone (862) 703-9232

National Provider Directory

National Provider Directory

Locations

1225 McBride Ave
Ste 200
Woodland Park, NJ 07424
Phone (973) 256-5557

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1437416757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243812",
            "telephone_number": "862-703-9232",
            "fax_number": "973-629-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243812",
            "telephone_number": "862-703-9232",
            "fax_number": "973-629-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-703-9232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "1044070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.