Eastside Nutrition LLC

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

EASTSIDE NUTRITION LLC

Practice address

333 N Wilmot Rd
Suite 340
Tucson, AZ 85711-2631

Phone

(520) 618-5383

Fax

(520) 918-3031

NPI assigned

Mar 18, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Nelson Jones, MS,RD,CSSD

Title

Owner/Registerred Dietitian

Phone

(520) 618-5383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1619219631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N WILMOT RD",
            "address_2": "SUITE 340",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112631",
            "telephone_number": "520-618-5383",
            "fax_number": "520-918-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N WILMOT RD",
            "address_2": "SUITE 340",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112631",
            "telephone_number": "520-618-5383",
            "fax_number": "520-918-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER/REGISTERRED DIETITIAN",
        "authorized_official_telephone_number": "520-618-5383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,RD,CSSD"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Candice Marie Eastman, PHARMD
• Eastside Auto & Injury Chiropractic
• Eastwest Wellness LLC
• Kiran Chatani Easwarachandran, LCSW
• Kris F. Eaton, M.A.
• Eaz-Barakeh
• Staci Wilkinson Ebadirad, RN

• Nutrition Education Nutritionist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nutrition Education Nutritionist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.