Life Edit Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

LIFE EDIT NUTRITION, LLC

Practice address

10 Hanover SQ Apt 4B
New York, NY 10005-3531

Phone

(786) 252-9335

NPI assigned

Apr 2, 2020

Last updated

Apr 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darlene Regueiro, RDNPI 1154952752

Title

Ceo / Registered Dietitian

Phone

(786) 252-9335

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Darlene Regueiro, RD

  • Registered Dietitian
  • New York, NY
  • NPI 1154952752
  Authorized official Same address or phone

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1437788403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HANOVER SQ APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100053531",
            "telephone_number": "786-252-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HANOVER SQ APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100053531",
            "telephone_number": "786-252-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE EDIT NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "REGUEIRO",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CEO / REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "786-252-9335",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154952752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Life Care Nephrology Group L.L.P
• Life Chiropractic
• Life Lyrics Music Therapy LLC
• Life Moves Body Works LLC
• Life Pediatrics PLLC
• Life Pharma II Inc (Life Pharmacy)
• Life RX LLC

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.