Organization Active NPI

Ecnutrition LLC

  • Registered Dietitian
  • Bloomfield Hills, MI
National Provider Identifier
1568051100
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ECNUTRITION LLC
Practice address
4050 W Maple Rd Ste 108
Bloomfield Hills, MI 48301-3118
Phone
(248) 563-6866
NPI assigned
Jan 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Emily H Camiener, RDNNPI 1871151548
Title
Sole MBR
Phone
(248) 563-6866

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Obesity and Weight Management Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1201X

Addresses

Primary practice location

4050 W Maple Rd Ste 108
Bloomfield Hills, MI 48301-3118

Mailing address

240 Millrace Rd
Birmingham, MI 48009-3837
Phone (248) 563-6866

Other names 1

  • dietdetroit Doing business as

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": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1568051100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MILLRACE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093837",
            "telephone_number": "248-563-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MAPLE RD STE 108",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013118",
            "telephone_number": "248-563-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECNUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "CAMIENER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "248-563-6866",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dietdetroit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dietdetroit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.