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NOURISHED FOX LLC NPI 1104447515


NPI Information

NPI: 1104447515
Provider Name: NOURISHED FOX, LLC

Former Legal Business Name: NOURISHED FOX, LLC

Classification: Dietitian, Registered - 133VN1005X
Entity Type: Organization

Specialization: Nutrition, Renal

Address:
101 E COSO AVE # 656
RIDGECREST, CA
ZIP 93555
Phone: (818) 391-0097
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NOURISHED FOX, LLC is a nutrition and renal dietitian registered in Ridgecrest, CA. The provider is an individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation. NOURISHED FOX, LLC NPI is 1104447515. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Nourished Fox, Llc.

The provider's business location address is:

101 E COSO AVE # 656
RIDGECREST, CA
ZIP 93555-655
Phone: (818) 391-0097

The provider's authorized official is Doris A Delgado .
The authorized official title is Ceo, Founder/rdn and has the following contact phone number (818) 391-0097.

The enumeration date for this NPI number is 4/27/2020 and was last updated on 4/27/2020.


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
1163WD0400XRegistered NurseDiabetes EducatorNo
2133VN1005XDietitian, RegisteredNutrition, RenalYes

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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