Individual provider Active NPI

Zelda Felix-Mottley

  • Nutritionist
  • Benton Harbor, MI
National Provider Identifier
1952968109
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
1737 Hillandale Rd
Benton Harbor, MI 49022-9630
Phone
(269) 927-5674
Fax
(269) 944-4128
NPI assigned
May 23, 2019
Last updated
May 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU Primary

Addresses

Primary practice location

1737 Hillandale Rd
Benton Harbor, MI 49022-9630

Mailing address

1737 Hillandale Rd
Benton Harbor, MI 49022-9630
Phone (269) 927-5674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1952968109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 HILLANDALE RD",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490229630",
            "telephone_number": "269-927-5674",
            "fax_number": "269-944-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 HILLANDALE RD",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490229630",
            "telephone_number": "269-927-5674",
            "fax_number": "269-944-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX-MOTTLEY",
        "first_name": "ZELDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.