Organization Active NPI

Eat and Thrive Now LLC

  • Registered Dietitian
  • Peckville, PA
National Provider Identifier
1811685522
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
EAT AND THRIVE NOW LLC
Practice address
455 Main St
Peckville, PA 18452-2428
Phone
(949) 838-7232
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Mrs. Anny HaNPI 1679692297
Title
Business Owner
Phone
(949) 838-7232

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
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

455 Main St
Peckville, PA 18452-2428

Mailing address

128 Silver Maple Dr
Scott Township, PA 18411-7778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230526000676 PA Part B Supplier - Clinic/Group Practice 5092172585 Receives reassigned benefits from 2 practitioners
Practice locations: Peckville, PA
O20260409002204 OH Part B Supplier - Clinic/Group Practice 5092172585 Receives reassigned benefits from 1 practitioner
Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1811685522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 SILVER MAPLE DR",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184117778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522428",
            "telephone_number": "949-838-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT AND THRIVE NOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "ANNY",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "949-838-7232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peckville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.