Organization Active NPI

Nutrition of Eve LLC

  • Nutritionist
  • Orlando, FL
National Provider Identifier
1760069629
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
NUTRITION OF EVE LLC
Practice address
13166 Odyssey Lake Way
Orlando, FL 32826-4642
Phone
(407) 455-8258
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Lacie L BrisbonNPI 1982292173
Title
Certified Holistic Nutritionist Ceo
Phone
(407) 455-8258

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
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

13166 Odyssey Lake Way
Orlando, FL 32826-4642

Mailing address

13166 Odyssey Lake Way
Orlando, FL 32826-4642
Phone (407) 455-8258

Other identifiers 1

IdentifierTypeStateIssuer
1982292173OtherFLNUTRITION AND WELLNESS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL contact@nutritionofeve.com Direct

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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1760069629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13166 ODYSSEY LAKE WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264642",
            "telephone_number": "407-455-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13166 ODYSSEY LAKE WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264642",
            "telephone_number": "407-455-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION OF EVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "BRISBON",
        "authorized_official_first_name": "LACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CERTIFIED HOLISTIC NUTRITIONIST CEO",
        "authorized_official_telephone_number": "407-455-8258"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUTRITION AND WELLNESS",
            "identifier": "1982292173",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contact@nutritionofeve.com",
            "affiliation": "N",
            "endpointDescription": "Secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Simply Practice EHR",
            "address_1": "13166 Odyssey Lake Way",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328264642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.