VIVID LIFE NUTRITION, LLC (NPI# 1194222109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194222109 |
| Entity Type | Organization |
| Organization Name | VIVID LIFE NUTRITION, LLC |
| Practice Address |
1109 N Main St High Point NC 27262 |
| Mailing Address |
3426 Corvair Drive High Point NC 27265-1810 |
| Practice Telephone | 3369067869 |
| Mailing Telephone | 3369067869 |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | MRS. ANNA C HALLOCK (OWNER) |
| Authorized Official Telephone | 3369067869 |
| Authorized Official Credential | RDN, LDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L004256 | NC | Dietary & Nutritional Service Providers |
| Street Address |
1109 N MAIN ST |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623620 | Lane and Associates Xxxviii Dds Pa | Dentist | 101 Northpoint Avenue, High Point, NC 27262 | 2020-03-12 |
| 1043869936 | Norma Mechelle Cox | Technician | 1145 Hawick Dr, High Point, NC 27262 | 2019-09-04 |
| 1417514910 | Jennifer A. Loveland Dmd II Pllc | Dentist | 1007 Phillips Avenue, Suite 103, High Point, NC 27262 | 2019-05-21 |
| 1982175196 | World Relief Corp of National Association of Evangelicals | Marriage & Family Therapist | 155 Northpoint Avenue, Suite 102, High Point, NC 27262 | 2018-12-16 |
| 1538679907 | Zackary Daniel Rogers | Physician Assistant | 1814 Westchester Dr #301, High Point, NC 27262 | 2017-10-11 |
| 1184164162 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2005 N Main St., Suite 101, High Point, NC 27262 | 2017-02-24 |
| 1225483951 | Randall Godette | Physician Assistant | 611 Lindsay Street, High Point, NC 27262 | 2016-05-02 |
| 1336537356 | Optics, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Lindsay Street, High Point, NC 27262 | 2014-12-29 |
| 1871902346 | Isha Bangura | Counselor | 910 Mill Ave., High Point, NC 27262 | 2014-08-08 |
| 1831478833 | Jenny Susan Mason | Specialist/Technologist | 922 West College Dr, High Point, NC 27262 | 2011-08-08 |
| Find all providers in zip 27262 | ||||
| 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 |
|---|---|---|---|---|
| 1104323104 | Anna Hallock | Dietitian, Registered | 3426 Corvair Dr, High Point, NC 27265-1810 | 2018-04-07 |
| 1588036727 | Nelson Linkous | Dietitian, Registered | 1042 Bexley Ct, High Point, NC 27262-8082 | 2015-10-27 |
| 1164786034 | Janice Rene' Swanson | Dietitian, Registered | 4515 Premier Dr Ste 401, High Point, NC 27265 | 2012-06-26 |
| 1487984829 | Kelly Tyrey | Dietitian, Registered | 408 Vedra Ct, High Point, NC 27265-8625 | 2010-01-07 |
| 1649446865 | Jeanne Marie Johnson | Dietitian, Registered | 600 N Elm St, High Point, NC 27262-4332 | 2008-05-07 |
| 1639140361 | Autumn Sharie Jones | Dietitian, Registered | 4515 Premier Drive, Suite 401, High Point, NC 27265-8350 | 2006-01-31 |
| 1538716345 | Danielle Marie Spencer | Dietitian, Registered | 601 N Elm St, High Point, NC 27262-4331 | 2019-08-26 |
| 1447807250 | Jerri Ann Lamar | Dietitian, Registered | 601 N Elm St, High Point, NC 27262-4331 | 2019-08-26 |
| 1528443231 | Ying Marshall | Dietitian, Registered | 624 Quaker Ln, 100c, High Point, NC 27262-3832 | 2015-07-23 |
| 1457752206 | Heather Dawn Venoy | Dietitian, Registered | 300 Gatewood Ave, High Point, NC 27262-4822 | 2014-09-11 |
| Find all providers in HIGH POINT | ||||
| City | HIGH POINT |
| Zip Code | 27262 |
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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.