NPIMap

Organization Active NPI

Granite Harbor Business Development LLC

Doing business as Nutrition Consultants LLC

  • Registered Dietitian
  • West Warwick, RI
National Provider Identifier
1962685263
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
GRANITE HARBOR BUSINESS DEVELOPMENT LLC
Doing business as
Nutrition Consultants LLC
Practice address
1 James P. Murphy Industrial Highway
West Warwick, RI 02893
Phone
(401) 615-5538
Fax
(401) 615-8137
NPI assigned
Dec 10, 2007
Last updated
Nov 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Mr. Timothy McCarthy
Title
Manager
Phone
(603) 867-8003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Point of Service 305S00000X

Addresses

Primary practice location

1 James P. Murphy Industrial Highway
West Warwick, RI 02893

Mailing address

PO Box 7782
Warwick, RI 02887-7782
Phone (603) 867-8003

Other names 1

  • Nutrition Consultants LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121005000087 RI Part B Supplier - Clinic/Group Practice 0446409551 Receives reassigned benefits from 2 practitioners
Practice locations: West Warwick, RI

National Provider Directory

National Provider Directory

Locations

1272 W Main Rd
Middletown, RI 02842
Phone (401) 683-8063

400 Bald Hill Rd
Ste 501
Warwick, RI 02886
Phone (401) 732-5437

1 James P Murphy Ind Hwy
Ste 103
West Warwick, RI 02893
Phone (401) 615-0648

Practitioners & affiliated clinicians

Practitioners 5

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": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1962685263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7782",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028877782",
            "telephone_number": "603-867-8003",
            "fax_number": "401-615-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JAMES P. MURPHY INDUSTRIAL HIGHWAY",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "02893",
            "telephone_number": "401-615-5538",
            "fax_number": "401-615-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE HARBOR BUSINESS DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-867-8003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition Consultants LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.