Vineyard Nutrition LLC
Dietitian, Registered in Edgartown, Massachusetts
1376943126- Practice location
- 256 Edgartown Vineyard Haven RD, Edgartown, MA 02539-6933
- Phone
- 508-627-3235
- Fax
- —
- Last updated
- May 9, 2019
Vineyard Nutrition LLC is a healthcare organization based in Edgartown, MA. Vineyard Nutrition LLC practices in Edgartown, MA. The NPI Number for Vineyard Nutrition LLC is 1376943126 and holds a License No. 3260 (MA). The current practice location address for Vineyard Nutrition LLC is 256 Edgartown Vineyard Haven RD, Edgartown, MA 02539-6933 and can be reached out via phone at 508-627-3235.
Provider Profile Details
- NPI Number
- 1376943126
- Provider Name
- Vineyard Nutrition LLC
- Provider Entity Type
- Organization
- Address
- 256 Edgartown Vineyard Haven RD, Edgartown, MA 02539-6933
- Phone Number
- 508-627-3235
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Joshua Levy · Owner · 508-627-3235
- Provider Enumeration Date
- August 29, 2014
- Last Update Date
- May 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 256 Edgartown Vineyard Haven RD
Edgartown, MA 02539-6933 - City
- Edgartown
- State
- Massachusetts
- Zip
- 02539-6933
- Phone Number
- 508-627-3235
Provider Business Mailing Address Details
- Address
- 95 W Tisbury RD
Edgartown, MA 02539-7183 - City
- Edgartown
- State
- MA
- Zip
- 02539-7183
License Information
- License Number
- 3260
- License State
- MA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Edgartown, MA
View all Dietitian, Registered providers in Edgartown →Frequently Asked Questions
What is the NPI number of Vineyard Nutrition LLC?
The NPI number of Vineyard Nutrition LLC is 1376943126. It was assigned on August 29, 2014 and is currently active in the NPPES registry.
What is the specialty of Vineyard Nutrition LLC?
Vineyard Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3260.
Where does Vineyard Nutrition LLC practice?
The practice location is 256 Edgartown Vineyard Haven RD, Edgartown, MA 02539-6933. The office can be reached at 508-627-3235 (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 1376943126 directly on the NPPES registry website.