NPIMap

Organization Active NPI

Apple Wellness and Nutrition Center. LLC

  • Nutrition Education Nutritionist
  • Baltimore, MD
National Provider Identifier
1568060903
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
APPLE WELLNESS AND NUTRITION CENTER. LLC
Practice address
6132 Wheatland Rd
Baltimore, MD 21228-2762
Phone
(347) 967-7243
Fax
(410) 788-1086
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Shobha Nandivada, RD,CDE,IFNCPNPI 1811211550
Title
Owner/Provider
Phone
(347) 982-4372

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
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

6132 Wheatland Rd
Baltimore, MD 21228-2762

Mailing address

6132 Wheatland Rd
Baltimore, MD 21228-2762
Phone (347) 967-7243

Other names 1

  • APPLE WELLNESS AND NUTRIOTIONCENTER, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Apple Wellness and Nutrition Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1568060903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 WHEATLAND RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212282762",
            "telephone_number": "347-967-7243",
            "fax_number": "410-788-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 WHEATLAND RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212282762",
            "telephone_number": "347-967-7243",
            "fax_number": "410-788-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE WELLNESS AND NUTRITION CENTER. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "NANDIVADA",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "347-982-4372",
        "authorized_official_credential": "RD,CDE,IFNCP"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLE WELLNESS AND NUTRIOTIONCENTER, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.