Sparr Nutrition Services LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

847864 Issued in MI

Legal business name

SPARR NUTRITION SERVICES LLC

Practice address

1957 Midchester Drive
Westbloomfield, MI 48324

Phone

(248) 760-7462

NPI assigned

Sep 18, 2017

Organization subpart

No

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

Authorized official

Name

Poornima Samandur, RD

Title

Registered Dietitian

Phone

(248) 760-7462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902325293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 MIDCHESTER DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241164",
            "telephone_number": "248-760-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 MIDCHESTER DRIVE",
            "city": "WESTBLOOMFIELD",
            "state": "MI",
            "postal_code": "48324",
            "telephone_number": "248-760-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARR NUTRITION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAMANDUR",
        "authorized_official_first_name": "POORNIMA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "248-760-7462",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "847864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.