NPIMap

Organization Active NPI

Active Nutrition LLC

  • Registered Dietitian
  • Farmington Hills, MI
National Provider Identifier
1699516633
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ACTIVE NUTRITION LLC
Practice address
32988 Thorndyke CT
Farmington Hills, MI 48334-1969
Phone
(248) 459-1508
Fax
(248) 742-4993
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Mrs. Julia Stevens, MPH RDNNPI 1013036102
Title
Owner, Registered Dietitian
Phone
(248) 459-1508

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 Primary

Addresses

Primary practice location

32988 Thorndyke CT
Farmington Hills, MI 48334-1969

Mailing address

32988 Thorndyke CT
Farmington Hills, MI 48334-1969
Phone (248) 459-1508

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": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1699516633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32988 THORNDYKE CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341969",
            "telephone_number": "248-459-1508",
            "fax_number": "248-742-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32988 THORNDYKE CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341969",
            "telephone_number": "248-459-1508",
            "fax_number": "248-742-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "248-459-1508",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.