Green Apple Nutrition Services LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

GREEN APPLE NUTRITION SERVICES LLC

Practice address

7252 Andover Dr
Canton, MI 48187-1130

Phone

(734) 845-0076

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Habeba Zourob, NUTRITIONESTNPI 1447735899

Title

Owner

Phone

(734) 845-0076

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Habeba Zourob, NUTRITIONST

  • Nutritionist
  • Canton, MI
  • NPI 1447735899
  NPD (past) Authorized official

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1811472269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 ANDOVER DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871130",
            "telephone_number": "734-845-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7252 ANDOVER DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871130",
            "telephone_number": "734-845-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN APPLE NUTRITION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "ZOUROB",
        "authorized_official_first_name": "HABEBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-845-0076",
        "authorized_official_credential": "NUTRITIONEST"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Gray, MA, LPC, NCC
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• Katherine Greene
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• Sean Patrick Gregory, D.C.
• Jennifer Grenoble, RDH

• Nutritionist in Canton, MI
• Providers in Canton, MI by specialty
• Nutritionist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.