Advanced Nutrition Therapy, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ADVANCED NUTRITION THERAPY, LLC

Practice address

3834 Vista Azul
San Clemente, CA 92672-4542

Phone

(310) 367-8190

Fax

(949) 492-9492

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Julia Leigh Levine, M.S., R.D.NPI 1235172107

Title

President

Phone

(310) 367-8190

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.

• Julia Leigh Levine, M.S., R.D.

  • Registered Dietitian
  • San Clemente, CA
  • NPI 1235172107

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1669410197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 VISTA AZUL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724542",
            "telephone_number": "310-367-8190",
            "fax_number": "949-492-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 VISTA AZUL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724542",
            "telephone_number": "310-367-8190",
            "fax_number": "949-492-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-367-8190",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., R.D."
    },
    "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 San Clemente, CA
• Providers in San Clemente, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.