KORAN WATSON HAVEN OF HEALTH LLC
NPI 1104401322
Dietitian, Registered in Philadelphia, PA

Q: What is Koran Watson Haven Of Health LLC's NPI number?

The NPI number for Koran Watson Haven Of Health LLC is 1104401322. It was assigned to this organization in the NPPES registry on March 10, 2021.

Q: What is Koran Watson Haven Of Health LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since March 10, 2021

21 S 11TH ST, PHILADELPHIA, PA 19107(267) 209-3245(267) 907-8591 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2022, Mar 10, 2021 (2 updates tracked since 2021).

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About Koran Watson Haven Of Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KORAN WATSON HAVEN OF HEALTH LLC (NPI 1104401322) is a healthcare organization registered as a dietitian, registered in Philadelphia, Pennsylvania and active in the NPI registry since March 2021. The organization lists Koran Watson, Owner/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1104401322

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameKORAN WATSON HAVEN OF HEALTH LLC

Location Address21 S 11TH STPhiladelphia, PA 19107-4223

Mailing Address21 S 11th StPhiladelphia, PA 19107-4223 · (267) 209-3245

Phone(267) 209-3245

Fax(267) 907-8591

Organization SubpartNo

Authorized OfficialKoran WatsonOwner/ Ceo · (267) 209-3245

Enumeration DateMarch 10, 2021

Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1104401322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

21 S 11TH ST, Philadelphia, PA 19107

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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