Organization Active NPI

Migraine Free Holistically

  • Nutrition Education Nutritionist
  • Redwood City, CA
National Provider Identifier
1790045425
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
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

Updated by the provider on May 29, 2012

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)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 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' Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.