CR Nutrition and Wellness, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CR NUTRITION AND WELLNESS, LLC

Practice address

1290 Baltimore Pike
Suite 113a
Chadds Ford, PA 19317-7361

Phone

(484) 467-4538

Fax

(610) 444-0689

NPI assigned

Jul 6, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carmel Rickenbach, MS, RD, LDN

Title

Owner / Manager

Phone

(484) 467-4538

Specialties & licenses 1

Addresses

Other names 1

• Carmel M. Rickenbach, MS, RD, LDN Former legal business name

Locations

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679838585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 NORTHBROOK RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481509",
            "telephone_number": "484-456-4538",
            "fax_number": "610-444-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 BALTIMORE PIKE",
            "address_2": "SUITE 113A",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177361",
            "telephone_number": "484-467-4538",
            "fax_number": "610-444-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR NUTRITION AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICKENBACH",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "484-467-4538",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel M. Rickenbach, MS, RD, LDN",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Registered Dietitian in Chadds Ford, PA
• Providers in Chadds Ford, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.