Individual provider Active NPI

Christine Ashley Berthoumieux, RD

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1992537120
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN008445 Issued in PA
Practice address
941 N Leithgow St
Philadelphia, PA 19123-1430
Phone
(646) 465-0475
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 010767 NY
Registered Dietitian 133V00000X DN008445 PA Primary

Addresses

Primary practice location

941 N Leithgow St
Philadelphia, PA 19123-1430

Mailing address

2093 Philadelphia Pike # 9455
Claymont, DE 19703-2424
Phone (646) 465-0475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN008445PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mieux Nutrition and Wellbeing LLC Dietitian, Registered CurrentSince Aug 18, 2024 Accepting new patients

Locations

2093 Philadelphia Pike
Claymont, DE 19703
Phone (201) 308-3903

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1992537120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 PHILADELPHIA PIKE # 9455",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032424",
            "telephone_number": "646-465-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 N LEITHGOW ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231430",
            "telephone_number": "646-465-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHOUMIEUX",
        "first_name": "CHRISTINE",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010767",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.