Energi Nutrition LLC

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

ENERGI NUTRITION LLC

Practice address

28 Church St Ste 14
Winchester, MA 01890-2538

Phone

(603) 605-6116

NPI assigned

May 1, 2023

Last updated

May 1, 2023By 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

Cory Purchas

Title

Manager

Phone

(603) 605-6116

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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.

• Gianna Roma, RD

  • Registered Dietitian
  • Boston, MA
  • NPI 1285152579
  Medicare reassignment NPD

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1699463224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHURCH ST STE 14",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902538",
            "telephone_number": "603-605-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHURCH ST STE 14",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902538",
            "telephone_number": "603-605-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGI NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "PURCHAS",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-605-6116"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Jean Dwyer
• E. Elizabeth Nutrition Counseling LLC
• Eric Ebert, MD
• Edward a Ryan, MD, PC
• Noha Anan Elkadry, DMD
• Caryl Ann Erdos, MSCCCSLP
• Kristine Ann Erickson, OD, PHD
• Kevin Escano, PHARMD
• Rochelle Bell Ettlinger, NURSE PRACTITIONER
• Leonidas E Exarchos, DMD

• Nutrition Education Nutritionist in Winchester, MA
• Providers in Winchester, MA by specialty
• Nutrition Education Nutritionist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.