Active NPI
Migraine Free Holistically
- Nutrition Education Nutritionist
- Redwood City, CA
National Provider Identifier
1790045425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Legal business name
- MIGRAINE FREE HOLISTICALLY
- Practice address
- 767 Roosevelt Ave
Redwood City, CA 94061-2274 - Phone
- (650) 369-1958
- Fax
- (650) 369-1958
- NPI assigned
- May 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Suzanne Youssef Abboud, N.E
- Title
- Holistic Healthcare Practitioner Ce
- Phone
- (650) 369-1958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Primary |
Addresses
Primary practice location
767 Roosevelt Ave
Redwood City, CA 94061-2274
Mailing address
767 Roosevelt Ave
Redwood City, CA 94061-2274
Phone (650) 369-1958
Other names 1
- Online Practice Known as 'Unlock the Mystery of Your Migraines'
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338249600000",
"number": "1790045425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 ROOSEVELT AVE",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940612274",
"telephone_number": "650-369-1958",
"fax_number": "650-369-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 ROOSEVELT AVE",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940612274",
"telephone_number": "650-369-1958",
"fax_number": "650-369-1958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIGRAINE FREE HOLISTICALLY",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-29",
"last_updated": "2012-05-29",
"status": "A",
"authorized_official_last_name": "ABBOUD",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "YOUSSEF",
"authorized_official_title_or_position": "HOLISTIC HEALTHCARE PRACTITIONER CE",
"authorized_official_telephone_number": "650-369-1958",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "N.E"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Online Practice Known as 'Unlock the Mystery of Your Migraines'",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.