POSITIVELY NOURISHED LLC NPI 1568252856

NPI Information

  • NPI: 1568252856
  • Provider Name: POSITIVELY NOURISHED LLC
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Address: 1153 TERRA AVE
    TWIN FALLS, ID
    ZIP 83301
  • Phone: (208) 607-5864

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NPI Details

POSITIVELY NOURISHED LLC is a dietitian registered in Twin Falls, ID. 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. POSITIVELY NOURISHED LLC NPI is 1568252856. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1153 TERRA AVE
TWIN FALLS, ID
ZIP 83301-734
Phone: (208) 607-5864

The provider's authorized official is Stephanie Nicole Pugh .
The authorized official title is Owner, Registered Dietitian and has the following contact phone number (208) 607-5864.

The enumeration date for this NPI number is 5/9/2025 and was last updated on 5/9/2025.

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
1133V00000XDietitian, RegisteredYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11528778933OTHERIDAHOINDIVIDUAL NPI FOR STEPHANIE PUGH, OWNER

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: 11/21/2025

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