NPIMap

Organization Active NPI

My Nutriality LLC

  • Registered Dietitian
  • Arnold, MO
National Provider Identifier
1669038451
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MY NUTRIALITY LLC
Practice address
3262 5 Oaks Dr
Arnold, MO 63010-3883
Phone
(636) 442-2333
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Sanela Kisic
Title
Owner
Phone
(636) 442-2333

Specialties & licenses 1

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

Addresses

Primary practice location

3262 5 Oaks Dr
Arnold, MO 63010-3883

Mailing address

3262 5 Oaks Dr
Arnold, MO 63010-3883
Phone (636) 442-2333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1669038451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 5 OAKS DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103883",
            "telephone_number": "636-442-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 5 OAKS DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103883",
            "telephone_number": "636-442-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NUTRIALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "KISIC",
        "authorized_official_first_name": "SANELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-442-2333"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.