Organization Active NPI

All About Nutrition LLC

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1790012037
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
949149 Issued in PA
Legal business name
ALL ABOUT NUTRITION LLC
Practice address
3330 Grant Ave
Philadelphia, PA 19114-2600
Phone
(215) 464-3004
Fax
(215) 464-7638
NPI assigned
Nov 6, 2009
Last updated
Mar 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Ms. Nicole Dineen Kemp, R.D., LDNNPI 1568654770
Title
Registered Dietitian
Phone
(215) 464-3004

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 Dietitian 133V00000X 949149 PA Primary

Addresses

Primary practice location

3330 Grant Ave
Philadelphia, PA 19114-2600

Mailing address

534 W Midvale Ave
Philadelphia, PA 19144-4618
Phone (215) 464-3004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100301000343 PA Part B Supplier - Clinic/Group Practice 4981749082 Receives reassigned benefits from 1 practitioner
Practice locations: Bensalem, PA

National Provider Directory

National Provider Directory

Locations

3330 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-3004

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1790012037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 W MIDVALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444618",
            "telephone_number": "215-464-3004",
            "fax_number": "215-438-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142600",
            "telephone_number": "215-464-3004",
            "fax_number": "215-464-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DINEEN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "215-464-3004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D., LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "949149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.

Verify at the official NPI Registry.