Organization Active NPI

Stamina Nutrition, PLLC

  • Registered Dietitian
  • Belgrade, MT
National Provider Identifier
1609378595
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86035331 Issued in MT
Legal business name
STAMINA NUTRITION, PLLC
Practice address
5320 Foster LN Apt B
Belgrade, MT 59714-8649
Phone
(406) 855-1965
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Rachel Patrick, RDN
Title
Owner, Registered Dietitian
Phone
(406) 855-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X 86035331 MT Primary

Addresses

Primary practice location

5320 Foster LN Apt B
Belgrade, MT 59714-8649

Mailing address

5320 Foster LN Apt B
Belgrade, MT 59714-8649
Phone (406) 855-1965

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1609378595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 FOSTER LN APT B",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597148649",
            "telephone_number": "406-855-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 FOSTER LN APT B",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597148649",
            "telephone_number": "406-855-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMINA NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "406-855-1965",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "86035331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belgrade, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.