Organization Active NPI

Complete Nutrition Therapy and Counseling LLC

  • Registered Dietitian
  • Columbia, MD
National Provider Identifier
1447972807
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
COMPLETE NUTRITION THERAPY AND COUNSELING LLC
Practice address
8365 Tamar Dr
Columbia, MD 21045-5728
Phone
(240) 558-0100
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Chimene Castor, RDNNPI 1306382601
Title
Owner
Phone
(410) 707-2779

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

8365 Tamar Dr
Columbia, MD 21045-5728

Mailing address

8365 Tamar Dr
Columbia, MD 21045-5728

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://app.kalix.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1447972807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8365 TAMAR DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8365 TAMAR DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455728",
            "telephone_number": "240-558-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE NUTRITION THERAPY AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "CASTOR",
        "authorized_official_first_name": "CHIMENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-707-2779",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.kalix.com",
            "affiliation": "N",
            "address_1": "8365 Tamar Dr",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210455728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.