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INNOVATIVE NUTRITION SOLUTIONS LLC NPI 1003824079


NPI Information

NPI: 1003824079
Provider Name: INNOVATIVE NUTRITION SOLUTIONS, LLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
414 DONOFRIO DR
SUITE 120
MADISON, WI
ZIP 53719
Phone: (608) 836-3473
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INNOVATIVE NUTRITION SOLUTIONS, LLC is a dietitian registered in Madison, WI. 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. INNOVATIVE NUTRITION SOLUTIONS, LLC NPI is 1003824079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

414 DONOFRIO DR
SUITE 120
MADISON, WI
ZIP 53719-847
Phone: (608) 836-3473
Fax: (608) 831-5319

The provider's authorized official is Karyn Evelyn Moehring .
The authorized official title is Clinical Nutrition Therapist and has the following contact phone number (608) 836-3473.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 8/22/2020.


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, Registered1680-029WISCONSINYes
2291U00000XClinical Medical LaboratoryWISCONSINX

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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