TRULY NOURISHED, LLC (NPI# 1801370051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801370051 |
| Entity Type | Organization |
| Organization Name | TRULY NOURISHED, LLC |
| Other Organization Name | DENICE VANCE, MS, RD, LD |
| Practice Address |
500 West Lanier Ave. Suite 908 Fayetteville GA 30215 |
| Mailing Address |
5610 Wisbech Way Atlanta GA 30349-2778 |
| Practice Telephone | 4045180918 |
| Mailing Telephone | 4045180918 |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | DENICE VANCE (OWNER) |
| Authorized Official Telephone | 4045180918 |
| Authorized Official Credential | MS, RD, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Denice Vance, MS, RD, LD | Doing Business As Name - Organization |
| Street Address |
500 WEST LANIER AVE. SUITE 908 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104343839 | Pandora G Brown | Specialist | 65 Black Watch Ct, Fayetteville, GA 30215 | 2017-08-23 |
| 1902264492 | Ty-re Lamont Dixon Sr. | Durable Medical Equipment & Medical Supplies | 220 Shoreline Dr., Fayetteville, GA 30215 | 2016-01-29 |
| 1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
| 1831534346 | Kevin Tyler Goelz | Radiology | 605 Wentworth Ct, Fayetteville, GA 30215 | 2013-05-10 |
| 1518249739 | William J. Holcomb | Pharmacist | 880 Hwy 85 South, Fayetteville, GA 30215 | 2011-09-14 |
| 1407168131 | All Care Home Health Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 | 2010-07-10 |
| 1083854160 | Rachel Blanks | Licensed Practical Nurse | 170 Brookwood Lane, Fayetteville, GA 30215 | 2009-03-02 |
| 1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
| 1174700769 | Katheryn D. Mcdonell | Counselor | 110 Dawn Drive, Fayetteville, GA 30215 | 2008-01-25 |
| 1003930454 | Michelle Marie Marchese-deutscher | Occupational Therapist | 130 Howard Lane, Fayetteville, GA 30215 | 2007-03-19 |
| Find all providers in zip 30215 | ||||
| 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 |
|---|---|---|---|---|
| 1760099238 | Emily Keeling | Dietitian, Registered | 1238 N Vista Pl, Fayetteville, AR 72703-1352 | 2020-09-28 |
| 1114544723 | Katherine Johanna Martin | Dietitian, Registered | 449 Tartan Ct, Fayetteville, NC 28311-1694 | 2020-06-30 |
| 1447872486 | Lindsay Spivey Petty | Dietitian, Registered | 190 Cedar Creek Ct, Fayetteville, GA 30215-2799 | 2020-05-13 |
| 1366003980 | Laura Hill | Dietitian, Registered | 3215 N Northhills Blvd Ste 3, Fayetteville, AR 72703-4424 | 2019-06-25 |
| 1073082053 | Natalie Bules | Dietitian, Registered | 688 E Millsap Rd Ste 100, Fayetteville, AR 72703-3930 | 2018-11-19 |
| 1326542317 | Jennifer Joyner | Dietitian, Registered | 424 Mcarthur Rd, Fayetteville, NC 28311-6924 | 2018-03-22 |
| 1114428984 | Paul Thomas Brown | Dietitian, Registered | 3082 W Jewell Rd Apt 1, Fayetteville, AR 72701-1586 | 2018-02-26 |
| 1356799183 | Nutrition Consultants, Inc. | Dietitian, Registered | 6866 Towbridge Rd, Fayetteville, NC 28306-2534 | 2016-06-02 |
| 1619359346 | Sabrina Teresa Hesford | Dietitian, Registered | 408 Warren St, Fayetteville, NY 13066-2138 | 2015-06-18 |
| 1225428360 | Kristin Marie Macdonald | Dietitian, Registered | 2917 Wycliffe Ct, Fayetteville, NC 28306-2559 | 2015-01-28 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30215 |
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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.