Nutreur LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NUTREUR LLC

Practice address

770 Tamalpais Dr
Suite 206
Corte Madera, CA 94925-1700

Phone

(808) 286-0544

NPI assigned

May 2, 2017

Last updated

May 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dina Young

Title

Coo

Phone

(808) 286-0544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1770019317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 SIMMONS LN",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451735",
            "telephone_number": "808-286-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 TAMALPAIS DR",
            "address_2": "SUITE 206",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251700",
            "telephone_number": "808-286-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTREUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "808-286-0544"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.