Restoration Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RESTORATION NUTRITION LLC

Practice address

1717 S Dorsey LN Apt 2086
Tempe, AZ 85281-7014

Phone

(215) 360-5435

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Laura Rhead, MS, RDN

Title

Owner

Phone

(215) 360-5435

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1659109809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S DORSEY LN APT 2086",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S DORSEY LN APT 2086",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817014",
            "telephone_number": "215-360-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-21",
        "status": "A",
        "authorized_official_last_name": "RHEAD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-360-5435",
        "authorized_official_credential": "MS, RDN"
    },
    "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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• Registered Dietitian in Tempe, AZ
• Providers in Tempe, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.