Active NPI
Eliza Whitaker Wellness, LLC
Doing business as Nourished Nutrition and Fitness
- Health Service Clinic/Center
- Greene, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- ELIZA WHITAKER WELLNESS, LLC
- Doing business as
- Nourished Nutrition and Fitness
- Practice address
- 322 Hattie Clark Rd
Greene, NY 13778-3116 - Phone
- (607) 373-5244
- NPI assigned
- Sep 25, 2024
- Last updated
- Sep 25, 2024
- 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
- Eliza Whitaker, RDN
- Title
- Founder
- Phone
- (607) 373-5244
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
322 Hattie Clark Rd
Greene, NY 13778-3116
Mailing address
322 Hattie Clark Rd
Greene, NY 13778-3116
Phone (607) 373-5244
Other names 1
- Nourished Nutrition and Fitness
National Provider Directory
National Provider Directory- Tax ID family
- Eliza Whitaker Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Nourished Nutrition and Fitness
- Registered Dietitian
- East Rochester, NY
- NPI 1902667447
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
- Greene, NY
- NPI 1134901176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727222400000",
"number": "1750108098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 HATTIE CLARK RD",
"city": "GREENE",
"state": "NY",
"postal_code": "137783116",
"telephone_number": "607-373-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 HATTIE CLARK RD",
"city": "GREENE",
"state": "NY",
"postal_code": "137783116",
"telephone_number": "607-373-5244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZA WHITAKER WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A",
"authorized_official_last_name": "WHITAKER",
"authorized_official_first_name": "ELIZA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "607-373-5244",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nourished Nutrition and Fitness",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Greene, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.