Organization Active NPI

Kristen Noriega Nutrition, LLC

  • Registered Dietitian
  • Chesapeake, VA
National Provider Identifier
1942042999
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KRISTEN NORIEGA NUTRITION, LLC
Practice address
2012 Burson Dr
Chesapeake, VA 23323-5304
Phone
(660) 528-0415
NPI assigned
Jun 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Sydnee Mostek, RDNNPI 1043990831
Title
Rd/Office Manager
Phone
(660) 528-0415

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 Primary

Addresses

Primary practice location

2012 Burson Dr
Chesapeake, VA 23323-5304

Mailing address

6404 90TH St
Lubbock, TX 79424-6866

Other names 1

  • Rooted Wellness Academy Doing business as

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": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1942042999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 90TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 BURSON DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233235304",
            "telephone_number": "660-528-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN NORIEGA NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "MOSTEK",
        "authorized_official_first_name": "SYDNEE",
        "authorized_official_title_or_position": "RD/OFFICE MANAGER",
        "authorized_official_telephone_number": "660-528-0415",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted Wellness Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.