Active NPI
Juliann Spina, BSE
- Nutrition Education Nutritionist
- Florissant, MO
National Provider Identifier
1780961870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 0313472
- Practice address
- 11115 New Halls Ferry Rd
Suite 301
Florissant, MO 63033-7613 - Phone
- (314) 921-6200
- NPI assigned
- Nov 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 0313472 | MO | Primary |
Addresses
Primary practice location
11115 New Halls Ferry Rd
Suite 301
Florissant, MO 63033-7613
Mailing address
2265 Parkton Way
Barnhart, MO 63012-1269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0313472 | MO | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Organize Your Life Today Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nutritionist
- Florissant, MO
- NPI 1225305063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1780961870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2265 PARKTON WAY",
"city": "BARNHART",
"state": "MO",
"postal_code": "630121269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11115 NEW HALLS FERRY RD",
"address_2": "SUITE 301",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630337613",
"telephone_number": "314-921-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINA",
"first_name": "JULIANN",
"credential": "BSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-03",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "MO",
"license": "0313472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
- Shawn Donnika Sotofalcon
- Abigail Spann
- Brian S Sparkman, LPTA
- Specialists in Allergy and Asthma, LLC (Ritu Gupta, M.D.)
- Speedy Medical Supply, LLC.
- Christopher Spink Jr.
- Chiquetta Shante Spinks
- Sarah Spring, D.D.S.
- Abigail Coldren Spudich, MS CF-SLP
- SSM Depaul Medical Group, Inc. (DePaul Medical Group at Cross Keys)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.