LIFECYCLE NUTRITION SERVICES LLC (NPI# 1063911584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063911584 |
| Entity Type | Organization |
| Organization Name | LIFECYCLE NUTRITION SERVICES LLC |
| Other Organization Name | LIFECYCLE NUTRITION |
| Practice Address |
105 Virginia Dr Hattiesburg MS 39401-5831 |
| Practice Telephone | 8505564377 |
| Mailing Telephone | 8505564377 |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2018-02-10 |
| Authorized Official Name | JENNIFER LYNN LEMACKS (OWNER) |
| Authorized Official Telephone | 8505564377 |
| Authorized Official Credential | PHD, RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D1640 | MS | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Lifecycle Nutrition | Doing Business As Name - Organization |
| Street Address |
105 VIRGINIA DR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-5831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023497781 | Jennifer L Lemacks | Dietitian, Registered | 105 Virginia Dr, Hattiesburg, MS 39401-5831 | 2015-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734348 | Jaclyn Wehrle | Dietitian, Registered | 122 Virginia Dr, Hattiesburg, MS 39401-5832 | 2020-06-11 |
| 1629615489 | Lynne Victoria Longman | Dietitian, Registered | 2424 Weeping Willow Cir, Hattiesburg, MS 39402-6090 | 2019-11-28 |
| 1710359922 | Chantel Nicole Chatham | Dietitian, Registered | 118 College Dr # 5114, Hattiesburg, MS 39406-0001 | 2015-10-27 |
| 1023497781 | Jennifer L Lemacks | Dietitian, Registered | 105 Virginia Dr, Hattiesburg, MS 39401-5831 | 2015-05-27 |
| 1275932444 | John Micka | Dietitian, Registered | 2 Longstone Rd, Hattiesburg, MS 39402-8434 | 2014-08-14 |
| 1710308283 | Laurie Mccarty | Dietitian, Registered | 14 Lamar Blvd, Hattiesburg, MS 39402-8102 | 2013-12-30 |
| 1467770370 | Ryan Patrick Tracy | Dietitian, Registered | 200 Yellow Pine Dr, Hattiesburg, MS 39402-9233 | 2010-05-17 |
| 1538799275 | Jessica Breland | Dietitian, Registered | 6414 Highway 98 West, Suite 120, Hattiesburg, MS 39402 | 2020-01-22 |
| 1023595220 | Natasha Hansen | Dietitian, Registered | 118 College Dr # 5017, Hattiesburg, MS 39406-0001 | 2018-07-20 |
| 1245726405 | Sabrina M White | Dietitian, Registered | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2018-07-10 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.