Active NPI
Keystone Nutrition
- Nutritionist
- Bryn Mawr, PA
National Provider Identifier
1518501055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- KEYSTONE NUTRITION
- Practice address
- 21 Old Oaks Rd
Bryn Mawr, PA 19010-1024 - Phone
- (610) 324-9398
- NPI assigned
- Oct 28, 2019
- Last updated
- Apr 29, 2022
- Organization subpart
- Yes
- Parent organization
- OLD OAKS PROFESSIONAL SERVICES CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Melissa Wilson Twedt, MS, CNS, LDN
- Title
- Clinical Nutritionist
- Phone
- (610) 525-1422
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU | Primary |
Addresses
Primary practice location
21 Old Oaks Rd
Bryn Mawr, PA 19010-1024
Mailing address
512 W Lancaster Ave
Wayne, PA 19087-3122
Phone (610) 525-1422
National Provider Directory
National Provider Directory- Part of
- Keystone Nutrition
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.
-
- Nutrition Education Nutritionist
- West Chester, PA
- NPI 1437628823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651190400000",
"number": "1518501055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 W LANCASTER AVE",
"city": "WAYNE",
"state": "PA",
"postal_code": "190873122",
"telephone_number": "610-525-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 OLD OAKS RD",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101024",
"telephone_number": "610-324-9398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE NUTRITION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OLD OAKS PROFESSIONAL SERVICES CORP.",
"enumeration_date": "2019-10-28",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A",
"authorized_official_last_name": "TWEDT",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "WILSON",
"authorized_official_title_or_position": "CLINICAL NUTRITIONIST",
"authorized_official_telephone_number": "610-525-1422",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS, CNS, LDN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.