NPIMap

Organization Active NPI

Nourishmnt, LLC

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1902307887
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006187 Issued in PA
Legal business name
NOURISHMNT, LLC
Practice address
2 Logan SQ Ste 300
Philadelphia, PA 19103
Phone
(267) 438-6016
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Ms. Diana Marlin, RD, LDNNPI 1669992210
Title
Registered Dietitian
Phone
(267) 438-6016

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 DN006187 PA Primary

Addresses

Primary practice location

2 Logan SQ Ste 300
Philadelphia, PA 19103

Mailing address

2 Logan SQ Ste 300
Philadelphia, PA 19103-2733
Phone (267) 438-6016

National Provider Directory

National Provider Directory

Locations

2 Logan Sq
Ste 300
Philadelphia, PA 19103
Phone 2156400600201

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": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1902307887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LOGAN SQ STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032733",
            "telephone_number": "267-438-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOGAN SQ STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "267-438-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHMNT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "MARLIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "267-438-6016",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.