Active NPIOrganization

Iris Nutrition, LLC

Dietitian, Registered in Lodi, New Jersey

NPI Number1306774567
Practice location
110 Prospect St Fl 2, Lodi, NJ 07644-2335
Fax
—
Last updated
May 9, 2026

Iris Nutrition, LLC is a healthcare organization based in Lodi, NJ. Iris Nutrition, LLC practices in Lodi, NJ. The NPI Number for Iris Nutrition, LLC is 1306774567. The current practice location address for Iris Nutrition, LLC is 110 Prospect St Fl 2, Lodi, NJ 07644-2335 and can be reached out via phone at 650-518-0820.

Provider Profile Details

NPI Number
1306774567
Provider Name
Iris Nutrition, LLC
Provider Entity Type
Organization
Address
110 Prospect St Fl 2, Lodi, NJ 07644-2335
Phone Number
650-518-0820
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Miss Anne Coronado, RD · Registered Dietitian · 650-518-0820
Provider Enumeration Date
May 9, 2026
Last Update Date
May 9, 2026
Certification Date
May 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Prospect St Fl 2
Lodi, NJ 07644-2335
City
Lodi
Zip
07644-2335
Phone Number
650-518-0820
Lodi, NJ 07644Get directions →

Provider Business Mailing Address Details

Address
110 Prospect St Fl 2
Lodi, NJ 07644-2335
City
Lodi
State
NJ
Zip
07644-2335
Phone Number
650-518-0820

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Iris Nutrition, LLC?

The NPI number of Iris Nutrition, LLC is 1306774567. It was assigned on May 9, 2026 and is currently active in the NPPES registry.

What is the specialty of Iris Nutrition, LLC?

Iris Nutrition, LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Iris Nutrition, LLC practice?

The practice location is 110 Prospect St Fl 2, Lodi, NJ 07644-2335. The office can be reached at 650-518-0820 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306774567 directly on the NPPES registry website.

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