Active NPI
Not Your Average Nutritionist
- Registered Dietitian
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NOT YOUR AVERAGE NUTRITIONIST
- Doing business as
- Not Your Average Nutritionist
- Practice address
- 1264 Higuera St Ste 108a
San Luis Obispo, CA 93401-3184 - Phone
- (805) 801-1321
- Fax
- (888) 765-0374
- NPI assigned
- Aug 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Gordon Parker, MS, RD
- Title
- Owner
- Phone
- (805) 801-1321
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1264 Higuera St Ste 108a
San Luis Obispo, CA 93401-3184
Mailing address
3638 Lawnwood CT
San Luis Obispo, CA 93401-0922
Phone (805) 801-1321
Other names 1
- Not Your Average Nutritionist
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 888-765-0374 | Direct |
National Provider Directory
National Provider DirectoryLocations
1264 Higuera St
Ste 108A
San Luis Obispo, CA 93401
Phone (805) 441-0775
119 W 72nd St
New York, NY 10023
Phone (646) 662-9123
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- San Luis Obispo, CA
- NPI 1063834984
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564790400000",
"number": "1629623020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3638 LAWNWOOD CT",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934010922",
"telephone_number": "805-801-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 HIGUERA ST STE 108A",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013184",
"telephone_number": "805-801-1321",
"fax_number": "888-765-0374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOT YOUR AVERAGE NUTRITIONIST",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-03",
"last_updated": "2019-08-03",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-801-1321",
"authorized_official_credential": "MS, RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "888-765-0374",
"affiliation": "N",
"endpointDescription": "fax",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "fax",
"address_1": "1264 Higuera St Ste 108A",
"city": "San Luis Obispo",
"state": "CA",
"country_code": "US",
"postal_code": "934013184",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Not Your Average Nutritionist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.