Beachside Nutrition Consultants

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

BEACHSIDE NUTRITION CONSULTANTS

Doing business as

Nutrition by Brooke

Practice address

414 2ND St Apt 330
Hermosa Beach, CA 90254-4610

Phone

(301) 996-2927

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Brooke Amelia Mader, MS, CNS, LDN

Title

Nutritionist

Phone

(301) 996-2927

Specialties & licenses 2

Addresses

Other names 1

• Nutrition by Brooke Doing business as

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1720684228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ETHELWOOD CT",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322900",
            "telephone_number": "301-996-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 2ND ST APT 330",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544610",
            "telephone_number": "301-996-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE NUTRITION CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "MADER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "AMELIA",
        "authorized_official_title_or_position": "NUTRITIONIST",
        "authorized_official_telephone_number": "301-996-2927",
        "authorized_official_credential": "MS, CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition by Brooke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• BC Medical, a Professional Medical Corporation
• Beach Cities Child and Family Therapy Inc
• Beach Cities Psychological Services, Inc.
• Beach Cities Psychotherapy, a Marriage and Family Therapy Corporation
• Beach Psychology
• Natasha Behnam
• Dillon Benavides Garcia
• Malori Bennett
• Kimberly Bergin, M.S., CCC-SLP
• Caroline Bernstein, LMFT

• Nutritionist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.