Provider Demographics
NPI:1295912228
Name:RED APPLE NUTRITION, LLC
Entity type:Organization
Organization Name:RED APPLE NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:724-814-0247
Mailing Address - Street 1:105 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:WARRENDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15086-7590
Mailing Address - Country:US
Mailing Address - Phone:724-814-0247
Mailing Address - Fax:724-933-1916
Practice Address - Street 1:105 MAPLE DR
Practice Address - Street 2:
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-7590
Practice Address - Country:US
Practice Address - Phone:724-814-0247
Practice Address - Fax:724-933-1916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA096137X3YMedicaid
PA2005300OtherHIGHMARK BC/BS