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FOREVER NUTRITION LLC NPI 1003210543


NPI Information

NPI: 1003210543
Provider Name: FOREVER NUTRITION LLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
10000 N CENTRAL EXPY
SUITE 400
DALLAS, TX
ZIP 75231
Phone: (314) 805-2997
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FOREVER NUTRITION LLC is a dietitian registered in Dallas, 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. FOREVER NUTRITION LLC NPI is 1003210543. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10000 N CENTRAL EXPY
SUITE 400
DALLAS, TX
ZIP 75231-177
Phone: (314) 805-2997

The provider's authorized official is Amber White .
The authorized official title is Owner and has the following contact phone number (314) 805-2997.

The enumeration date for this NPI number is 10/13/2014 and was last updated on 4/28/2015.


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, RegisteredDT83424TEXASYes

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
1142130002MEDICARE PIN

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: 11/15/2022

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