Salt Lake Nutricoaching LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

6784233-4901 Issued in UT

Legal business name

SALT LAKE NUTRICOACHING LLC

Practice address

7430 S Creek Rd Ste 104
Sandy, UT 84093-6160

Phone

(801) 981-8795

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Ginger Ann Bailey, R.D.N.

Title

Owner

Phone

(801) 815-7301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Anne McCormick, MS, RDN

  • Registered Dietitian
  • Provo, UT
  • NPI 1932968971

  Dietitian, Registered

  NPD (past)
• Janae Kinikin, RDN

  • Registered Dietitian
  • Douglas, WY
  • NPI 1881248698

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1881070936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 W SPRINGSHIRE LN",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841237929",
            "telephone_number": "801-815-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 S CREEK RD STE 104",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936160",
            "telephone_number": "801-981-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE NUTRICOACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-815-7301",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D.N."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "6784233-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sai Scripts LLC
• Kalli Chiyemi Saibara-Cook, PH.D.
• Michael Salerno
• Jazmin Ivette Salinas
• Renee Elizabeth Salois, OTD, OTR/L
• Salt Lake Women'S Center
• Salt Psychological and Behavioral Services
• Ethan Sam, DPT
• Lisa Samuelu
• Niloufar Sanatinia

• Registered Dietitian in Sandy, UT
• Providers in Sandy, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.