Nutriviva.Inc

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

1053627 Issued in CA

Legal business name

NUTRIVIVA.INC

Practice address

175 N Jackson Ave
209
San Jose, CA 95116-1909

Phone

(510) 936-0991

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Shraddha Patel, MS, RDN

Title

Consulting Dietitian

Phone

(510) 566-9937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1962809939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37439 JOSEPH ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364910",
            "telephone_number": "510-566-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "510-936-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIVIVA.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHRADDHA",
        "authorized_official_title_or_position": "CONSULTING DIETITIAN",
        "authorized_official_telephone_number": "510-566-9937",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CA",
            "license": "1053627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurse Professional Staffing Solutions Inc
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• Faaria Nusrat
• Nutrition Support Clinic
• Nutriviva Inc
• Philip D. Nutt
• Marissa-Mae Nuval
• Andrea Mari Nuyda, RN
• Desiree Dorothy Nuzzi
• Gilliane Nwafor

• Metabolic Nutrition Registered Dietitian in San Jose, CA
• Providers in San Jose, CA by specialty
• Metabolic Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.