Organization Active NPI

Not Your Average Nutritionist

  • Registered Dietitian
  • San Luis Obispo, CA
National Provider Identifier
1629623020
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Aug 3, 2019

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

Authorized official

Name
Elizabeth Gordon Parker, MS, RDNPI 1063834984
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 888-765-0374 Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.