Staying Ageless Inc.

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

STAYING AGELESS INC.

Practice address

1530 W Sam Houston Pkwy N Ste 117
Houston, TX 77043-3159

Phone

(202) 719-5295

NPI assigned

Apr 13, 2023

Last updated

Apr 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Esosa Edosomwan, MS, CNS, LDNNPI 1053949537

Title

Ceo &Certified Nutrition Specialist

Phone

(650) 797-8890

Specialties & licenses 2

Addresses

Other names 1

• Raw Girl Inc. Former legal business name

Electronic endpoints 1

Locations

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.

• Esosa Edosomwan

  • Nutritionist
  • Fairfax, VA
  • NPI 1053949537
  NPD Authorized official

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1528754496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 WESTVIEW DR STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435038",
            "telephone_number": "202-719-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W SAM HOUSTON PKWY N STE 117",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770433159",
            "telephone_number": "202-719-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYING AGELESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "EDOSOMWAN",
        "authorized_official_first_name": "ESOSA",
        "authorized_official_title_or_position": "CEO &CERTIFIED NUTRITION SPECIALIST",
        "authorized_official_telephone_number": "650-797-8890",
        "authorized_official_credential": "MS, CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://rawgirlinternational.practicebetter.io/",
            "affiliation": "N",
            "endpointDescription": "online health portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1530 W Sam Houston Pkwy N Ste 117",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770433159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Raw Girl Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stay-at-Home Solutions LLC
• Jane Stay, O.T.
• Kelsey Stayer
• Sarah Elizabeth Stayer, M.D.
• Stephen A. Stayer, M.D.
• Madison Anya Stazo, CHW
• Ste. F (Avid Pharmacy)
• Steadfast Healthcare LLC
• Steadfast Home Companion Services, Inc.
• Steadicare

• Nutritionist in Houston, TX
• Providers in Houston, TX by specialty
• Nutritionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.