NPIMap

Organization Active NPI

Nourish Health With Food for Life LLC

  • Public Health & General Preventive Medicine Physician
  • Peabody, MA
National Provider Identifier
1477809416
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
78959 Issued in MA
Legal business name
NOURISH HEALTH WITH FOOD FOR LIFE LLC
Practice address
2 Bourbon St
Suite LL 105
Peabody, MA 01960-1384
Phone
(781) 632-7205
NPI assigned
Jul 27, 2012
Last updated
May 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Mona Sigal, MDNPI 1003923590
Title
Owner
Phone
(781) 632-7205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 78959 MA Primary

Addresses

Primary practice location

2 Bourbon St
Suite LL 105
Peabody, MA 01960-1384

Mailing address

2 Bourbon St
Suite LL 105
Peabody, MA 01960-1384
Phone (978) 717-5804

National Provider Directory

National Provider Directory

Locations

2 Bourbon St
Ste 105
Peabody, MA 01960
Phone (781) 632-7205

2 Bourbon St
Ste LL105
Peabody, MA 01960
Phone (978) 717-5804

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1477809416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BOURBON ST",
            "address_2": "SUITE LL 105",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601384",
            "telephone_number": "978-717-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BOURBON ST",
            "address_2": "SUITE LL 105",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601384",
            "telephone_number": "781-632-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH HEALTH WITH FOOD FOR LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "SIGAL",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-632-7205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MA",
            "license": "78959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.