Organization Active NPI

Renaissance Nutrition Center, Inc

  • Specialist
  • East Norriton, PA
National Provider Identifier
1811160666
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
DN000663 Issued in PA
Legal business name
RENAISSANCE NUTRITION CENTER, INC
Practice address
2500 Dekalb Pike
Suite 200
East Norriton, PA 19401-2007
Phone
(610) 275-3699
Fax
(610) 275-3799
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
H Theresa Wright, MS,RD,CDE,LDNNPI 1336406982
Title
President
Phone
(610) 275-3699

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X DN000663 PA Primary

Addresses

Primary practice location

2500 Dekalb Pike
Suite 200
East Norriton, PA 19401-2007

Mailing address

2500 Dekalb Pike
Suite 200
East Norriton, PA 19401-2007
Phone (610) 275-3699

National Provider Directory

National Provider Directory

Locations

2500 DeKalb Pike
Ste 200
East Norriton, PA 19401
Phone (610) 275-3699

Practitioners & affiliated clinicians

Practitioners 1

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": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1811160666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DEKALB PIKE",
            "address_2": "SUITE 200",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194012007",
            "telephone_number": "610-275-3699",
            "fax_number": "610-275-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DEKALB PIKE",
            "address_2": "SUITE 200",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194012007",
            "telephone_number": "610-275-3699",
            "fax_number": "610-275-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE NUTRITION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "H  THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-275-3699",
        "authorized_official_credential": "MS,RD,CDE,LDN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "DN000663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.