Active NPI
Nutrition Studio
- Nutritionist
- Tracy, CA
National Provider Identifier
1912978198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- NUTRITION STUDIO
- Practice address
- 447 W Eaton Ave
Tracy, CA 95376 - Phone
- (209) 832-3432
- Fax
- (209) 830-7361
- NPI assigned
- Jan 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pamela S Warmerdam, MS RD CDE
- Title
- Diabetes Educator Program Coord.
- Phone
- (209) 832-3432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | CA | Primary |
Addresses
Primary practice location
447 W Eaton Ave
Tracy, CA 95376
Mailing address
PO Box 986
Woodbridge, CA 95258-0986
Phone (209) 832-3432
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912978198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 986",
"city": "WOODBRIDGE",
"state": "CA",
"postal_code": "952580986",
"telephone_number": "209-832-3432",
"fax_number": "209-830-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 W EATON AVE",
"city": "TRACY",
"state": "CA",
"postal_code": "95376",
"telephone_number": "209-832-3432",
"fax_number": "209-830-7361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION STUDIO",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WARMERDAM",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIABETES EDUCATOR PROGRAM COORD.",
"authorized_official_telephone_number": "209-832-3432",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS RD CDE"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.