Organization Active NPI

Nutriworld Inc.

  • Home Delivered Meals
  • Brookfield, IL
National Provider Identifier
1972856581
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
License
00009260 Issued in IL
Legal business name
NUTRIWORLD INC.
Practice address
3453 Grand Blvd.
Brookfield, IL 60513-1207
Phone
(708) 485-3422
Fax
(708) 485-3142
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Mrs. Pura Alegria Yarra, R.D.
Title
President
Phone
(708) 485-3422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 372359 IL
Home Delivered Meals 332U00000X 00009260 IL Primary

Addresses

Primary practice location

3453 Grand Blvd.
Brookfield, IL 60513-1207

Mailing address

3453 Grand Blvd.
Brookfield, IL 60513-1207
Phone (708) 485-3422

National Provider Directory

National Provider Directory

Locations

3453 Grand Blvd
Brookfield, IL 60513
Phone (708) 485-3422

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1972856581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 GRAND BLVD.",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131207",
            "telephone_number": "708-485-3422",
            "fax_number": "708-485-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 GRAND BLVD.",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131207",
            "telephone_number": "708-485-3422",
            "fax_number": "708-485-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIWORLD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "YARRA",
        "authorized_official_first_name": "PURA",
        "authorized_official_middle_name": "ALEGRIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-485-3422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "372359",
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "IL",
            "license": "00009260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.