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

Last updated

Mar 18, 2013By the provider in NPPES

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,CSSDNPI 1992969471

Title

Owner/Registerred Dietitian

Phone

(520) 618-5383

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Nelson Jones, MS,RD,CSSD

  • Registered Dietitian
  • Tucson, AZ
  • NPI 1992969471
  Authorized official Same address or phone

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": []
}

• Easter Seals Blake Foundation
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• Candice Marie Eastman, PHARMD
• Eastside Auto & Injury Chiropractic
• Eastwest Wellness LLC (Eastwest Integrated Care)
• Kiran Chatani Easwarachandran, LCSW
• Kris F. Eaton, M.A.
• Eaz-Barakeh (First Adult Care Home)
• 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.