Organization Active NPI

Diabetes and Nutrition Consultants, LLC

  • Nutritionist
  • Ellisville, MO
National Provider Identifier
1982111464
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2017035075 Issued in MO
Legal business name
DIABETES AND NUTRITION CONSULTANTS, LLC
Practice address
267 Carmel Woods Dr
Ellisville, MO 63021-4715
Phone
(337) 207-9343
Fax
(337) 207-9343
NPI assigned
Jan 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Melissa Lynn Armatta, LD,RD,CDE
Title
Sole Proprietor
Phone
(337) 207-9343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X 2017035075 MO Primary

Addresses

Primary practice location

267 Carmel Woods Dr
Ellisville, MO 63021-4715

Mailing address

15455 Manchester Rd Unit 13
Ballwin, MO 63022-5002
Phone (337) 207-9343

National Provider Directory

National Provider Directory

Locations

15455 Manchester Rd
Unit 13
Ballwin, MO 63022
Phone (337) 207-9343

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1982111464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 MANCHESTER RD UNIT 13",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630225002",
            "telephone_number": "337-207-9343",
            "fax_number": "866-438-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 CARMEL WOODS DR",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630214715",
            "telephone_number": "337-207-9343",
            "fax_number": "337-207-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND NUTRITION CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "ARMATTA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "337-207-9343",
        "authorized_official_credential": "LD,RD,CDE"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "MO",
            "license": "2017035075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.