NPIMap

Organization Active NPI

Personal Nutrition Solutions, LLC

  • Registered Dietitian
  • Dearborn, MI
National Provider Identifier
1700177979
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
995418 Issued in MI
Legal business name
PERSONAL NUTRITION SOLUTIONS, LLC
Practice address
22158 W Village Dr
Dearborn, MI 48124-2298
Phone
(248) 252-3856
NPI assigned
Apr 22, 2011
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Ms. Lina Dagher, RDNPI 1427348655
Title
President
Phone
(248) 252-3856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 995418 MI Primary

Addresses

Primary practice location

22158 W Village Dr
Dearborn, MI 48124-2298

Mailing address

22158 W Village Dr
Dearborn, MI 48124-2298
Phone (248) 252-3856

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1700177979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22158 W VILLAGE DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242298",
            "telephone_number": "248-252-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22158 W VILLAGE DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242298",
            "telephone_number": "248-252-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL NUTRITION SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "DAGHER",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-252-3856",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "995418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.