ORIGINAL NOURISHMENT LLC NPI 1114744281

NPI Information

  • NPI: 1114744281
  • Provider Name: ORIGINAL NOURISHMENT LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 5000 THAYER CTR STE C
    OAKLAND, MD
    ZIP 21550
  • Phone: (240) 205-6730

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NPI Details

ORIGINAL NOURISHMENT LLC is a health service clinic center in Oakland, MD. ORIGINAL NOURISHMENT LLC NPI is 1114744281. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5000 THAYER CTR STE C
OAKLAND, MD
ZIP 21550-139
Phone: (240) 205-6730

The provider's authorized official is Taylor Fury .
The authorized official title is Owner and has the following contact phone number (240) 205-6730.

The enumeration date for this NPI number is 9/20/2024 and was last updated on 10/1/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133N00000XNutritionistNo
2133NN1002XNutritionistNutrition, EducationNo
3171100000XAcupuncturistNo
4171400000XHealth and Wellness CoachNo
5174H00000XHealth EducatorNo
6261QH0100XClinic/CenterHealth ServiceYes
7261QM1300XClinic/CenterMulti-SpecialtyNo
8261QP3300XClinic/CenterPainNo

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: 3/30/2025

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