NPIMap

Organization Active NPI

Whole Nutrition Services

  • Registered Dietitian
  • Catonsville, MD
National Provider Identifier
1669615951
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D01526 Issued in MD
Legal business name
WHOLE NUTRITION SERVICES
Practice address
1011 Ingleside Ave
Catonsville, MD 21228-1318
Phone
(410) 877-6077
Fax
(410) 877-6087
NPI assigned
Apr 16, 2009
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Ms. Shannon Green, RD, CDE, CSR, LDNNPI 1164573275
Title
Owner
Phone
(410) 877-6077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X D01526 MD Primary

Addresses

Primary practice location

1011 Ingleside Ave
Catonsville, MD 21228-1318

Mailing address

51 Horseman CT
Randallstown, MD 21133-4065
Phone (410) 877-6077

Other names 1

  • Whole Nutrition Services, Inc.dba Renal Nutrition Services, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

1011 Ingleside Ave
Catonsville, MD 21228
Phone (410) 877-6077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1669615951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HORSEMAN CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334065",
            "telephone_number": "410-877-6077",
            "fax_number": "410-877-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 INGLESIDE AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281318",
            "telephone_number": "410-877-6077",
            "fax_number": "410-877-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE NUTRITION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-877-6077",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, CDE, CSR, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D01526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Nutrition Services, Inc.dba Renal Nutrition Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.