Organization Active NPI

Nutrition Connection LLC

  • Nutritionist
  • Reno, NV
National Provider Identifier
1508101858
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
NUTRITION CONNECTION LLC
Practice address
675 Sierra Rose Dr
Ste. 108
Reno, NV 89511-2364
Phone
(775) 360-6500
NPI assigned
Nov 27, 2012
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Mrs. Karen Fisher, RD
Title
Owner
Phone
(775) 360-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

675 Sierra Rose Dr
Ste. 108
Reno, NV 89511-2364

Mailing address

675 Sierra Rose Dr
Ste. 108
Reno, NV 89511-2364
Phone (775) 360-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130401000369 NV Part B Supplier - Clinic/Group Practice 2860637485 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

675 Sierra Rose Dr
Ste 108
Reno, NV 89511
Phone (775) 360-6500

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": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1508101858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SIERRA ROSE DR",
            "address_2": "STE. 108",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112364",
            "telephone_number": "775-360-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SIERRA ROSE DR",
            "address_2": "STE. 108",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112364",
            "telephone_number": "775-360-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-360-6500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.