Organization Active NPI

Sunny Lee Nutrition, LLC

  • Nutritionist
  • Prescott, AZ
National Provider Identifier
1699374231
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
SUNNY LEE NUTRITION, LLC
Practice address
1142 Country Club Dr
Prescott, AZ 86303-3443
Phone
(602) 644-1658
NPI assigned
Oct 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Sunny Brigham, CNSNPI 1699215517
Title
Clinical Nutritionist/ Owner
Phone
(602) 644-1658

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
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

1142 Country Club Dr
Prescott, AZ 86303-3443

Mailing address

1142 Country Club Dr
Prescott, AZ 86303-3443
Phone (602) 644-1658

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": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1699374231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 COUNTRY CLUB DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863033443",
            "telephone_number": "602-644-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 COUNTRY CLUB DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863033443",
            "telephone_number": "602-644-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY LEE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "BRIGHAM",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "CLINICAL NUTRITIONIST/ OWNER",
        "authorized_official_telephone_number": "602-644-1658",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.