NPIMap

Organization Active NPI

Nutrition Therapy Clinic

  • Registered Dietitian
  • Dayton, OH
National Provider Identifier
1891922597
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
400 Issued in OH
Legal business name
NUTRITION THERAPY CLINIC
Practice address
5563 Far Hills Ave
Dayton, OH 45429-2225
Phone
(937) 435-4355
Fax
(937) 434-0102
NPI assigned
Jun 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Mrs. Mara Velkers Lamb, RD, LD, CDE,NPI 1902018021
Title
Owner/Dietitian/Diabetes Educator
Phone
(937) 435-4355

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 400 OH Primary

Addresses

Primary practice location

5563 Far Hills Ave
Dayton, OH 45429-2225

Mailing address

1400 Heritage Rd
Dayton, OH 45459-3305
Phone (937) 435-4355

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.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1891922597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HERITAGE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593305",
            "telephone_number": "937-435-4355",
            "fax_number": "937-434-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292225",
            "telephone_number": "937-435-4355",
            "fax_number": "937-434-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "VELKERS",
        "authorized_official_title_or_position": "OWNER/DIETITIAN/DIABETES EDUCATOR",
        "authorized_official_telephone_number": "937-435-4355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LD, CDE,"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.