Organization Active NPI

Nutrition Coach- Rd, LLC

  • Registered Dietitian
  • Stuart, FL
National Provider Identifier
1669843819
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND 7333 Issued in FL
Legal business name
NUTRITION COACH- RD, LLC
Practice address
1807 S Kanner Hwy
Stuart, FL 34994-7204
Phone
(772) 215-1222
NPI assigned
Oct 14, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Ms. Marlene C Zink, RD, LDNNPI 1619348026
Title
Owner
Phone
(772) 215-1222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X ND 7333 FL Primary

Addresses

Primary practice location

1807 S Kanner Hwy
Stuart, FL 34994-7204

Mailing address

3010 SW Solitaire Palm Dr
Palm City, FL 34990-6302
Phone (772) 215-1222

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, 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": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1669843819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 SW SOLITAIRE PALM DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906302",
            "telephone_number": "772-215-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349947204",
            "telephone_number": "772-215-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION COACH- RD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "ZINK",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-215-1222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 7333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.