Active NPI
Merritt Nutrition LLC
- Gerontological Nutrition Registered Dietitian
- Bradenton, FL
National Provider Identifier
1871349084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontological Nutrition Registered Dietitian
- Legal business name
- MERRITT NUTRITION LLC
- Practice address
- 4120 Savanna Palms CT
Bradenton, FL 34211-2472 - Phone
- (571) 244-6073
- NPI assigned
- Apr 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennie Merritt, M.S., R.D.N., L.D.
- Title
- Ceo
- Phone
- (571) 244-6073
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | |||
| Gerontological Nutrition Registered Dietitian | 133VN1101X | Primary | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X |
Addresses
Primary practice location
4120 Savanna Palms CT
Bradenton, FL 34211-2472
Mailing address
4120 Savanna Palms CT
Bradenton, FL 34211-2472
Phone (571) 244-6073
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727654400000",
"number": "1871349084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 SAVANNA PALMS CT",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342112472",
"telephone_number": "571-244-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 SAVANNA PALMS CT",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342112472",
"telephone_number": "571-244-6073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRITT NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-29",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A",
"authorized_official_last_name": "MERRITT",
"authorized_official_first_name": "JENNIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "571-244-6073",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S., R.D.N., L.D."
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.