Active NPI
Longevita LLC
- Registered Dietitian
- Austin, TX
National Provider Identifier
1730083452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LONGEVITA LLC
- Practice address
- 4043 Steck Ave
Austin, TX 78759-8620 - Phone
- (512) 900-1374
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Shamailov, RD
- Title
- Dietitian, Owner
- Phone
- (512) 900-1374
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
4043 Steck Ave
Austin, TX 78759-8620
Mailing address
4043 Steck Ave
Austin, TX 78759-8620
Phone (512) 900-1374
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.
-
- Registered Dietitian
- Austin, TX
- NPI 1376033803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1730083452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4043 STECK AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598620",
"telephone_number": "512-900-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4043 STECK AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598620",
"telephone_number": "512-900-1374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGEVITA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "SHAMAILOV",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "DIETITIAN, OWNER",
"authorized_official_telephone_number": "512-900-1374",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.