Beth Warren Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007422 Issued in NY

Legal business name

BETH WARREN NUTRITION LLC

Practice address

1551 E 4TH St
Brooklyn, NY 11230-6318

Phone

(347) 292-1725

Fax

(212) 202-6025

NPI assigned

Feb 7, 2018

Organization subpart

No

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

Authorized official

Name

Beth A Warren, RD

Title

Owner

Phone

(347) 292-1725

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1982103719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 E 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306318",
            "telephone_number": "347-292-1725",
            "fax_number": "212-202-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306318",
            "telephone_number": "347-292-1725",
            "fax_number": "212-202-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH WARREN NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-292-1725",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Israel Medical Center
• Beth Israel Medical Center
• Beth Kelly Autism & Associates
• Beth Manitsky
• Beth Warren Nutrition
• Bethanapalli Bose
• Barbara C Bethea, MA, PT-R, LCAT
• Jennifer Bethea
• Kiara Bethea
• Qianna Bethea

• All providers in Brooklyn, NY
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.