Organization Active NPI

Sycamore Wellness, LLC

  • Registered Dietitian
  • Ann Arbor, MI
National Provider Identifier
1487991816
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SYCAMORE WELLNESS, LLC
Practice address
3077 Williamsburg Rd
Ann Arbor, MI 48108-2025
Phone
(810) 923-7234
NPI assigned
Jan 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Ms. Carolyn Marie Toth-Purcell, RDNPI 1043569296
Title
Owner
Phone
(810) 923-7234

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 SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3077 Williamsburg Rd
Ann Arbor, MI 48108-2025

Mailing address

3077 Williamsburg Rd
Ann Arbor, MI 48108-2025
Phone (810) 923-7234

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": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1487991816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 WILLIAMSBURG RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082025",
            "telephone_number": "810-923-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 WILLIAMSBURG RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082025",
            "telephone_number": "810-923-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "TOTH-PURCELL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-923-7234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.