NPI Code Detail JSON Logo

1780477125 NPI number — REDEEMING LIFE NUTRITION, LLC.

NPI Number: 1780477125
Health Care Provider/Practitioner: REDEEMING LIFE NUTRITION, LLC.

Information about “1780477125” NPI (REDEEMING LIFE NUTRITION, LLC.) exists in 1780477125 in HTML format HTML  |  1780477125 in plain Text format TXT  |  1780477125 in PDF (Portable Document Format) PDF  |  1780477125 in an XML format XML  formats.

NPI Number : 1780477125 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780477125",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REDEEMING LIFE NUTRITION, LLC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "17A HERITAGE CRST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHBURY",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06488-1370",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-470-8380",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9 UNION SQ UNIT 1134",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHBURY",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06488-2204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-718-6335",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/28/2025",
    "LastUpdateDate": "01/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MULVEY",
    "AuthorizedOfficialFirstName": "DREW",
    "AuthorizedOfficialMiddleName": "KEELIA",
    "AuthorizedOfficialTitle": "NUTRITIONIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CNS, CDN",
    "AuthorizedOfficialTelephoneNumber": "203-470-8380",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "133N00000X",
        "TaxonomyName": "Nutritionist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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