Medical Nutrition Therapy Consulting LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDICAL NUTRITION THERAPY CONSULTING LLC

Practice address

12404 Blue Ridge Ext
Grandview, MO 64030-1741

Phone

(816) 572-0471

Fax

(816) 761-0478

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Washington, Aisha L, RDN

Title

Registered Dietitian Nutritionist

Phone

(816) 572-0471

Specialties & licenses 2

Addresses

Other names 1

• MEDICAL NUTRITION THERAPY CONSULTING LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aisha Ladi Washington, MS,RD,LD

  • Registered Dietitian
  • Raymore, MO
  • NPI 1720027972
  Medicare reassignment

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1588263404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12404 BLUE RIDGE EXT",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301741",
            "telephone_number": "816-572-0471",
            "fax_number": "816-761-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12404 BLUE RIDGE EXT",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301741",
            "telephone_number": "816-572-0471",
            "fax_number": "816-761-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL NUTRITION THERAPY CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "L",
        "authorized_official_first_name": "WASHINGTON,",
        "authorized_official_middle_name": "AISHA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "816-572-0471",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL NUTRITION THERAPY CONSULTING LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yasir Masood
• Myya Kei Mountjoy Maxwell, CPM
• Marco S Mazzella, MD
• Anthony J McCree
• Julie Marie McDaniel, MPT
• Zainab Mehkari, MD
• Kara Meisenheimer, PHARMD
• Michael James Mercurio, DO
• David L Merello, DDS, PC
• Virginia P Messmore, MD

• Clinic/Center in Grandview, MO
• Providers in Grandview, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.