Organization Active NPI

Whole Self Nutrition LLC

Doing business as Whole Self Nutrition

  • Registered Dietitian
  • Albuquerque, NM
National Provider Identifier
1912663022
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WHOLE SELF NUTRITION LLC
Doing business as
Whole Self Nutrition
Practice address
3321 Candelaria Rd NE Ste 405B
Albuquerque, NM 87107-1971
Phone
(505) 289-2300
Fax
(505) 715-4426
NPI assigned
Nov 12, 2021
Last updated
Nov 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Michele Ramos
Title
Credentialier
Phone
(203) 318-6037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

3321 Candelaria Rd NE Ste 405B
Albuquerque, NM 87107-1971

Mailing address

3321 Candelaria Rd NE Ste 405B
Albuquerque, NM 87107-1971
Phone (505) 289-2300

Other names 1

  • Whole Self Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

3321 Candelaria Rd NE
Ste 405B
Albuquerque, NM 87107
Phone (505) 289-2300

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1912663022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE STE 405B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071971",
            "telephone_number": "505-289-2300",
            "fax_number": "505-715-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE STE 405B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071971",
            "telephone_number": "505-289-2300",
            "fax_number": "505-715-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE SELF NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CREDENTIALIER",
        "authorized_official_telephone_number": "203-318-6037"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Self Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.