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THRIVE PEDIATRIC NUTRITION SPECIALISTS INC NPI 1265889612


NPI Information

NPI: 1265889612
Provider Name: THRIVE PEDIATRIC NUTRITION SPECIALISTS, INC
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Organization

Specialization: Nutrition, Pediatric

Address:
200 OFFICE PARK DR STE 205
MOUNTAIN BRK, AL
ZIP 35223
Phone: (205) 704-1641
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THRIVE PEDIATRIC NUTRITION SPECIALISTS, INC is a nutrition and pediatric dietitian registered in Mountain Brk, AL. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. THRIVE PEDIATRIC NUTRITION SPECIALISTS, INC NPI is 1265889612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 OFFICE PARK DR STE 205
MOUNTAIN BRK, AL
ZIP 35223-455
Phone: (205) 704-1641

The provider's authorized official is Ali Howard Elliott .
The authorized official title is Registered Dietitian and has the following contact phone number (205) 704-1641.

The enumeration date for this NPI number is 5/16/2016 and was last updated on 5/16/2016.


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
1133VN1004XDietitian, RegisteredNutrition, Pediatric1814ALABAMAYes

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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