Black Sheep Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BLACK SHEEP NUTRITION LLC

Practice address

36 Kristine Ave
Boyertown, PA 19512-7771

Phone

(610) 215-9393

NPI assigned

Feb 27, 2021

Last updated

Sep 13, 2023By 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

Emma Stone, RDN LDN CDNPI 1568901049

Title

President, Registered Dietitian

Phone

(610) 215-9393

Specialties & licenses 1

Addresses

Locations

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.

• Emma Stone, RDN, LDN, CEDS

  • Registered Dietitian
  • Boyertown, PA
  • NPI 1568901049

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1770177966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 SAINT LAWRENCE AVE UNIT 4394",
            "city": "READING",
            "state": "PA",
            "postal_code": "196066063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 KRISTINE AVE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195127771",
            "telephone_number": "610-215-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK SHEEP NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-27",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "PRESIDENT, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "610-215-9393",
        "authorized_official_credential": "RDN LDN CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Boyertown, PA
• Providers in Boyertown, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.