Organization Active NPI

Embrace Body Fitness & Nutrition LLC

Doing business as Embrace Body

  • Nutritionist
  • North Augusta, SC
National Provider Identifier
1851133888
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
EMBRACE BODY FITNESS & NUTRITION LLC
Doing business as
Embrace Body
Practice address
1799 Edgefield Rd Ste a
North Augusta, SC 29860-5306
Phone
(864) 528-4908
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Shakyra Martin Oseitutu, NUTRITIONIST
Title
Owner
Phone
(803) 292-9785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU Primary

Addresses

Primary practice location

1799 Edgefield Rd Ste a
North Augusta, SC 29860-5306

Mailing address

1799 Edgefield Rd Ste a
North Augusta, SC 29860-5306
Phone (864) 528-4908

Other names 1

  • Embrace Body Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1851133888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 EDGEFIELD RD STE A",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298605306",
            "telephone_number": "864-528-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 EDGEFIELD RD STE A",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298605306",
            "telephone_number": "864-528-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE BODY FITNESS & NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN OSEITUTU",
        "authorized_official_first_name": "SHAKYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-292-9785",
        "authorized_official_credential": "NUTRITIONIST"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embrace Body",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.