Active NPI
Nicholas Theodorou, ND
- Nutritionist
- Easton, PA
National Provider Identifier
1831420678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 23-2600163
- Practice address
- 5 Stonecroft Dr
Easton, PA 18045-2812 - Phone
- (610) 258-1894
- Fax
- (610) 253-6800
- NPI assigned
- Jan 19, 2010
- Last updated
- Jan 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 23-2600163 | PA | Primary |
Addresses
Primary practice location
5 Stonecroft Dr
Easton, PA 18045-2812
Mailing address
5 Stonecroft Dr
Easton, PA 18045-2812
Phone (610) 258-1894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-2600163 | PA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1831420678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 STONECROFT DR",
"city": "EASTON",
"state": "PA",
"postal_code": "180452812",
"telephone_number": "610-258-1894",
"fax_number": "610-253-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 STONECROFT DR",
"city": "EASTON",
"state": "PA",
"postal_code": "180452812",
"telephone_number": "610-258-1894",
"fax_number": "610-253-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEODOROU",
"first_name": "NICHOLAS",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PA",
"license": "23-2600163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
- The Nehemiah House of Restoration, Inc.
- The Weston Group Inc.
- The Weston Group, Inc.
- The Womens Institute for Gynecologic Cancer & Special Pelvic Surgery
- Shannon Christine Theobald-Galgano, MD
- Ebony Nicole Therrier, DPT
- Third Street Alliance (Sharing the Caring Adult Day Services center)
- Thomas H Gulick MD PC
- Thomas Peacock MD
- Jamie L. Thomas, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.