Organization Active NPI

Fresh Approach Nutrition, Inc.

  • Registered Dietitian
  • Redlands, CA
National Provider Identifier
1952810582
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FRESH APPROACH NUTRITION, INC.
Practice address
1255 W Colton Ave # 130
Redlands, CA 92374-2861
Phone
(909) 633-7413
NPI assigned
Sep 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kristie LebeauNPI 1962874768
Title
Owner/Registered Dietitian
Phone
(909) 633-7413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1255 W Colton Ave # 130
Redlands, CA 92374-2861

Mailing address

1255 W Colton Ave # 130
Redlands, CA 92374-2861
Phone (909) 633-7413

National Provider Directory

National Provider Directory

Locations

1255 W Colton Ave
#130
Redlands, CA 92374
Phone (909) 633-7413

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952810582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W COLTON AVE # 130",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742861",
            "telephone_number": "909-633-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W COLTON AVE # 130",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742861",
            "telephone_number": "909-633-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH APPROACH NUTRITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEBEAU",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "909-633-7413"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • 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.