Nutrition Crafter

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION CRAFTER

Practice address

29 Forest Ave
Valley Stream, NY 11581-1307

Phone

(631) 747-1165

NPI assigned

Jun 21, 2021

Organization subpart

No

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

Authorized official

Name

Natalia Wiluk, RD CDN

Title

Owner

Phone

(631) 747-1165

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1811566219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FOREST AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811307",
            "telephone_number": "631-747-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 FOREST AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811307",
            "telephone_number": "631-747-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION CRAFTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "WILUK",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-747-1165",
        "authorized_official_credential": "RD CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natalia@nutritioncrafter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "29 Forest Ave",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115811307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.