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FREE STATE NUTRITION NPI 1831699826


NPI Information

NPI: 1831699826
Provider Name: FREE STATE NUTRITION
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization

CLIA Number: 17D0448356

Address:
2721 W 6TH ST STE F
LAWRENCE, KS
ZIP 66049
Phone: (785) 331-6435
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FREE STATE NUTRITION is a dietitian registered in Lawrence, KS. 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. FREE STATE NUTRITION NPI is 1831699826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2721 W 6TH ST STE F
LAWRENCE, KS
ZIP 66049-306
Phone: (785) 331-6435
Fax: (585) 332-4116

The provider's authorized official is Heather Fiore .
The authorized official title is Owner and has the following contact phone number (785) 331-6435.

The CLIA number assigned to this NPI record is 17D0448356 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2018 and was last updated on 8/26/2019.


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, Registered2134KANSASYes

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: 11/14/2023

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