WISE NUTRITION LLC (NPI# 1255638797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255638797 |
| Entity Type | Organization |
| Organization Name | WISE NUTRITION LLC |
| Other Organization Name | NANCY M WISE |
| Practice Address |
35 Cambridge Trce Ormond Beach FL 32174-2471 |
| Practice Telephone | 3866750790 |
| Practice Fax Number | 8887857846 |
| Mailing Telephone | 3866750790 |
| Mailing Fax Number | 8887857846 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | MRS. NANCY M WISE (SOLE PROPRIETOR) |
| Authorized Official Telephone | 3862951265 |
| Authorized Official Credential | MS/RD/LD/N |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
ND5781 | FL | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Nancy M Wise | Former Legal Business Name - Organization |
| Street Address |
35 CAMBRIDGE TRCE |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730497975 | Nancy M. Wise | Dietitian, Registered | 35 Cambridge Trce, Ormond Beach, FL 32174-2471 | 2010-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274104 | Mary Ellen Bing | Dietitian, Registered | 32 Iroquois Trl, Ormond Beach, FL 32174-4332 | 2020-08-07 |
| 1609189059 | John Dodd | Dietitian, Registered | 123 Sandcastle Dr, Ormond Beach, FL 32176-4156 | 2010-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545605 | Erika Marie Stahl | Dietitian, Registered | 651 Jamestown Blvd Apt 2116, Altamonte Springs, FL 32714-4683 | 2020-07-10 |
| 1659905016 | Erika Cook | Dietitian, Registered | 7 Sea Oaks Dr, St Augustine, FL 32080-7914 | 2020-02-25 |
| 1669039285 | Jennifer Mann | Dietitian, Registered | 1647 Island Way, Weston, FL 33326 | 2019-05-20 |
| 1306343850 | Annmarie Duggan | Dietitian, Registered | 18004 Nw 6th St Ste 104, Pembroke Pines, FL 33029-2823 | 2018-04-11 |
| 1245500933 | Jeanette Poillucci | Dietitian, Registered | 3700 Nw 88th Ave, 102, Sunrise, FL 33351-6556 | 2012-01-11 |
| 1710297452 | Susan Lynn Bottiglieri | Dietitian, Registered | 6641 Current Dr, Apollo Beach, FL 33572-1544 | 2010-10-15 |
| 1548588627 | Cesiah Rojas | Dietitian, Registered | 11809 Sw 103rd Ln, Miami, FL 33186-8541 | 2010-05-13 |
| 1992020705 | Susan Marie Meese-morris | Dietitian, Registered | 333 Nw 70th Ave Ste 107, Plantation, FL 33317-2358 | 2010-04-05 |
| 1841426350 | Anne Rebecca Hetrick | Dietitian, Registered | 508 Manatee Ave. East, Kidney Disease Consultants, Bradenton, FL 34208-1146 | 2009-06-10 |
| 1245481233 | Leonid Rozenbaum | Dietitian, Registered | 220 Foxtail Dr Apt F, Greenacres, FL 33415-6190 | 2008-10-08 |
| Find all providers with the same taxonomy | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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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.