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ILIVEWELL NUTRITION THERAPY LLC NPI 1093150070


NPI Information

NPI: 1093150070
Provider Name: ILIVEWELL NUTRITION THERAPY LLC

Doing Business As: ILIVEWELL NUTRITION

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
3724 JEFFERSON ST
SUITE 316
AUSTIN, TX
ZIP 78731
Phone: (512) 547-9274
Get Directions

ILIVEWELL NUTRITION THERAPY LLC is a dietitian registered in Austin, TX. The provider is 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. ILIVEWELL NUTRITION THERAPY LLC NPI is 1093150070. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ilivewell Nutrition.

The provider's business location address is:

3724 JEFFERSON ST
SUITE 316
AUSTIN, TX
ZIP 78731-225
Phone: (512) 547-9274

The provider's authorized official is Adrien B Paczosa .
The authorized official title is Owner and has the following contact phone number (512) 547-9274.

The enumeration date for this NPI number is 5/6/2013 and was last updated on 5/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredDT80445TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11700077062MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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