Organization Active NPI

Heather Mangieri Nutrition, LLC

  • Registered Dietitian
  • Imperial, PA
National Provider Identifier
1649435280
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN000933 Issued in PA
Legal business name
HEATHER MANGIERI NUTRITION, LLC
Practice address
815 Ponderosa Dr
Imperial, PA 15126-1170
Phone
(412) 445-1889
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Mrs. Heather Rae Mangieri, MS, RD, LDN
Title
Owner/Registered Dietitian
Phone
(412) 445-1889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DN000933 PA Primary

Addresses

Primary practice location

815 Ponderosa Dr
Imperial, PA 15126-1170

Mailing address

815 Ponderosa Dr
Imperial, PA 15126-1170
Phone (412) 445-1889

Other names 1

  • Nutrition CheckUp, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1649435280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 PONDEROSA DR",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151261170",
            "telephone_number": "412-445-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PONDEROSA DR",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151261170",
            "telephone_number": "412-445-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER MANGIERI NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "MANGIERI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "412-445-1889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition CheckUp, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Imperial, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.