NPIMap

Organization Active NPI

Elevated Fitness LLC

  • Nutritionist
  • South Lake Tahoe, CA
National Provider Identifier
1497114441
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
6227 Issued in NV
Legal business name
ELEVATED FITNESS LLC
Practice address
4000 Lake Tahoe Blvd
Suite 8
South Lake Tahoe, CA 96150-7071
Phone
(530) 318-8666
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Bridget McGrath, CSCS, CNS, CES, APTNPI 1083035257
Title
Owner
Phone
(775) 720-4904

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
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X 6227 NV Primary

Addresses

Primary practice location

4000 Lake Tahoe Blvd
Suite 8
South Lake Tahoe, CA 96150-7071

Mailing address

PO Box 11574
Zephyr Cove, NV 89448-3574
Phone (530) 318-8666

National Provider Directory

National Provider Directory

Locations

4000 Lake Tahoe Blvd
Ste 8
South Lake Tahoe, CA 96150
Phone (530) 318-8666

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": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1497114441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11574",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894483574",
            "telephone_number": "530-318-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LAKE TAHOE BLVD",
            "address_2": "SUITE 8",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507071",
            "telephone_number": "530-318-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-720-4904",
        "authorized_official_credential": "CSCS, CNS, CES, APT"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "NV",
            "license": "6227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.