Organization Active NPI

Daisy Tree Nutrition LLC

  • Registered Dietitian
  • Broadview Heights, OH
National Provider Identifier
1861185886
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DAISY TREE NUTRITION LLC
Practice address
9417 Broadview Rd
Broadview Heights, OH 44147-2307
Phone
(833) 516-0454
Fax
(888) 972-7994
NPI assigned
May 26, 2023
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Alexandra Vitanza, MS, RDN, LDNPI 1316640949
Title
Sole Member/Registered Dietitian
Phone
(440) 781-7236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary
Public Health or Welfare Agency 251K00000X NU

Addresses

Primary practice location

9417 Broadview Rd
Broadview Heights, OH 44147-2307

Mailing address

38823 Renwood Blvd
Avon, OH 44011-5276
Phone (440) 781-7236

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1861185886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38823 RENWOOD BLVD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440115276",
            "telephone_number": "440-781-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 BROADVIEW RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472307",
            "telephone_number": "833-516-0454",
            "fax_number": "888-972-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY TREE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "VITANZA",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "SOLE MEMBER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "440-781-7236",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.