Wayne Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004453 Issued in PA

Legal business name

WAYNE NUTRITION, LLC

Practice address

175 Strafford Ave
Suite One
Wayne, PA 19087-3317

Phone

(484) 253-1082

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Miss Kelly Ann Strogen, MS, RD, LDN

Title

President

Phone

(484) 253-1082

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1942678842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 STRAFFORD AVE",
            "address_2": "SUITE ONE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873317",
            "telephone_number": "484-253-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 STRAFFORD AVE",
            "address_2": "SUITE ONE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873317",
            "telephone_number": "484-253-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "STROGEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-253-1082",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1639470354",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karine Way, LBS
• Wayne Chiropractic Health Center, PC
• Wayne Dental Care
• Wayne Family Physicians
• Wayne Health Center LLC
• Wayne Pediatric Associates
• Tamika A. Wayne
• Shirley A Weaver, OTR
• Victoria Lynn Webb, PHD
• Ronald J Weber, MD

• Registered Dietitian in Wayne, PA
• Providers in Wayne, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.