NPIMap

Organization Active NPI

Marissa Kent Nutrition

  • Registered Dietitian
  • Mission Viejo, CA
National Provider Identifier
1780139246
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
928627 Issued in CA
Legal business name
MARISSA KENT NUTRITION
Practice address
26461 Crown Valley Pkwy
Suite 100
Mission Viejo, CA 92691-6377
Phone
(949) 378-1047
NPI assigned
Aug 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Marissa Anne Kent, RD, CDENPI 1457688921
Title
Owner
Phone
(949) 378-1047

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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 928627 CA Primary

Addresses

Primary practice location

26461 Crown Valley Pkwy
Suite 100
Mission Viejo, CA 92691-6377

Mailing address

26461 Crown Valley Pkwy
Suite 100
Mission Viejo, CA 92691-6377
Phone (949) 378-1047

Other names 1

  • Nutrition For Life Other name

National Provider Directory

National Provider Directory

Locations

26461 Crown Valley Pkwy
Ste 100
Mission Viejo, CA 92691
Phone (949) 378-1047

Practitioners & affiliated clinicians

Practitioners 3

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": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1780139246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26461 CROWN VALLEY PKWY",
            "address_2": "SUITE 100",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916377",
            "telephone_number": "949-378-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26461 CROWN VALLEY PKWY",
            "address_2": "SUITE 100",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916377",
            "telephone_number": "949-378-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA KENT NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-378-1047",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "928627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition For Life",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.