Organization Active NPI

Fueled Nutrition Therapy

  • Registered Dietitian
  • Westlake Village, CA
National Provider Identifier
1962174086
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FUELED NUTRITION THERAPY
Practice address
890 Hampshire Rd Ste E
Westlake Village, CA 91361-2873
Phone
(818) 633-8023
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Elika Imandel, RDN
Title
Owner
Phone
(818) 633-8023

Specialties & licenses 1

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

Addresses

Primary practice location

890 Hampshire Rd Ste E
Westlake Village, CA 91361-2873

Mailing address

890 Hampshire Rd Ste E
Westlake Village, CA 91361-2873

National Provider Directory

National Provider Directory

Locations

890 Hampshire Rd
Ste E
Westlake Village, CA 91361
Phone (805) 341-1429

Practitioners & affiliated clinicians

Practitioners 2

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": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1962174086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 HAMPSHIRE RD STE E",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 HAMPSHIRE RD STE E",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612873",
            "telephone_number": "818-633-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUELED NUTRITION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "IMANDEL",
        "authorized_official_first_name": "ELIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-633-8023",
        "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": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.