NPIMap

Organization Active NPI

Nutrition 365

  • Registered Dietitian
  • Deerfield, NH
National Provider Identifier
1689194201
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0631 Issued in NH
Legal business name
NUTRITION 365
Practice address
236 North Rd
Deerfield, NH 03037-1105
Phone
(781) 858-2500
NPI assigned
Jun 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Julie Catherine Costanzo, RD, LDNPI 1851815591
Title
Owner
Phone
(781) 858-2500

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: 193400000X SINGLE SPECIALTY GROUP 133V00000X 0631 NH Primary

Addresses

Primary practice location

236 North Rd
Deerfield, NH 03037-1105

Mailing address

236 North Rd
Deerfield, NH 03037-1105
Phone (781) 858-2500

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": "1498262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689194201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 NORTH RD",
            "city": "DEERFIELD",
            "state": "NH",
            "postal_code": "030371105",
            "telephone_number": "781-858-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 NORTH RD",
            "city": "DEERFIELD",
            "state": "NH",
            "postal_code": "030371105",
            "telephone_number": "781-858-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION 365",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COSTANZO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-858-2500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, NH

Sources for this page

  • 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.