Active NPI
Everydays Gourmet LLC
- Obesity and Weight Management Nutrition Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1760120992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- Legal business name
- EVERYDAYS GOURMET LLC
- Practice address
- 463 Ridgecorde PL
Saint Louis, MO 63141-7609 - Phone
- (314) 853-0051
- NPI assigned
- May 26, 2022
- 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
- Valarie Kornblet Shifrin
- Title
- Director/Owner
- Phone
- (314) 853-0051
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | Primary | ||
| Health & Wellness Coach | 171400000X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Home Delivered Meals | 332U00000X | |||
| Medical Foods Supplier | 335G00000X |
Addresses
Primary practice location
463 Ridgecorde PL
Saint Louis, MO 63141-7609
Mailing address
463 Ridgecorde PL
Saint Louis, MO 63141-7609
Phone (314) 853-0051
Other names 1
- The Good Health Network
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.thegoodhealthnetwork.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Everyday'S Gourmet LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prevention Professional
- Saint Louis, MO
- NPI 1962274746
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Saint Louis, MO
- NPI 1093327587
-
- Gerontology Nurse Practitioner
- Saint Louis, MO
- NPI 1447474622
-
- Registered Nurse
- Saint Louis, MO
- NPI 1154184513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710892800000",
"number": "1760120992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 RIDGECORDE PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417609",
"telephone_number": "314-853-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 RIDGECORDE PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417609",
"telephone_number": "314-853-0051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERYDAYS GOURMET LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-26",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A",
"authorized_official_last_name": "KORNBLET SHIFRIN",
"authorized_official_first_name": "VALARIE",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "314-853-0051"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "335G00000X",
"taxonomy_group": "",
"desc": "Medical Foods Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.thegoodhealthnetwork.org",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "463 Ridgecorde Pl",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631417609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Good Health Network",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.