Evi-Base,LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

EVI-BASE,LLC

Practice address

4807 Rockside Rd
Suite 740
Independence, OH 44131-2192

Phone

(216) 215-2230

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Mary Jayne Reedy

Title

President/Ceo

Phone

(440) 752-4427

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1649650086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32376 LAKE RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121812",
            "telephone_number": "440-752-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 ROCKSIDE RD",
            "address_2": "SUITE 740",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312192",
            "telephone_number": "216-215-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVI-BASE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "440-752-4427"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.