NPIMap

Organization Active NPI

Nutrition Therapy, LLC

  • Registered Dietitian
  • Troy, MI
National Provider Identifier
1639316581
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION THERAPY, LLC
Practice address
700 E Big Beaver Rd
Suite B
Troy, MI 48083-1435
Phone
(248) 244-2213
Fax
(248) 275-5558
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Mrs. Melanie A. Jacob, R.D.NPI 1366789091
Title
Owner
Phone
(248) 244-2213

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: 193200000X MULTI-SPECIALTY GROUP 133V00000X MI Primary

Addresses

Primary practice location

700 E Big Beaver Rd
Suite B
Troy, MI 48083-1435

Mailing address

700 E Big Beaver Rd
Suite B
Troy, MI 48083-1435
Phone (248) 244-2213

National Provider Directory

National Provider Directory

Locations

700 E Big Beaver Rd
Ste B
Troy, MI 48083
Phone (248) 244-2213

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1639316581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E BIG BEAVER RD",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831435",
            "telephone_number": "248-244-2213",
            "fax_number": "248-275-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BIG BEAVER RD",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831435",
            "telephone_number": "248-244-2213",
            "fax_number": "248-275-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-244-2213",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.