New Moon Nutrition and Wellness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NEW MOON NUTRITION AND WELLNESS LLC

Practice address

1322 Painted Bunting Ave
Oakland, FL 34787-3772

Phone

(407) 973-7845

Fax

(866) 266-5470

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Georgeanne M Little, MS RD LDNNPI 1023409810

Title

Owner

Phone

(407) 973-7845

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Georgeanne Marie Little, RD

  • Registered Dietitian
  • Winter Park, FL
  • NPI 1023409810

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1659136646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 PAINTED BUNTING AVE",
            "city": "OAKLAND",
            "state": "FL",
            "postal_code": "347873772",
            "telephone_number": "407-973-7845",
            "fax_number": "866-266-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 PAINTED BUNTING AVE",
            "city": "OAKLAND",
            "state": "FL",
            "postal_code": "347873772",
            "telephone_number": "407-973-7845",
            "fax_number": "866-266-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOON NUTRITION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "GEORGEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-973-7845",
        "authorized_official_credential": "MS RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Patrick McMullen, RPH
• Shannon Christie Mellone, M.S.
• Paul Mitchell Jr., CCC,LPN
• Nicole Moore, OTR/L
• Lauren Nicole Muntz, M.S.
• Leslie Palomares
• Kathy Paul
• Peralta Castro LLC
• Anna Latsamy Phidarat, OD
• Precision Healthcare Services LLC

• All providers in Oakland, FL
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.