THRIVE PEDIATRIC NUTRITION SPECIALISTS, INC (NPI# 1265889612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265889612 |
| Entity Type | Organization |
| Organization Name | THRIVE PEDIATRIC NUTRITION SPECIALISTS, INC |
| Practice Address |
200 Office Park Dr Ste 205 Mountain Brk AL 35223-2455 |
| Mailing Address |
2925 Virginia Rd Mountain Brk AL 35223-1253 |
| Practice Telephone | 2057041641 |
| Mailing Telephone | 2057041641 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | MRS. ALI HOWARD ELLIOTT (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 2057041641 |
| Authorized Official Credential | MS, RDN, LD, CLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
1814 | AL | Dietary & Nutritional Service Providers |
| Street Address |
200 OFFICE PARK DR STE 205 |
| City | MOUNTAIN BRK |
| State | AL |
| Zip Code | 35223-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619403508 | David Schaeffer | Optometrist | 2737 Highway 280 S Ste 191, Mountain Brk, AL 35223 | 2017-05-11 |
| 1265887632 | Inheritance House | Community Based Residential Treatment Facility, Mental Illness | 2305 Montevallo Park Road, Birmingham, AL 35223 | 2016-05-04 |
| 1104200344 | Insight Therapy, LLC | Psychologist | 166 Office Park Dr., St. 245, Birmingham, AL 35223 | 2015-07-17 |
| 1003211871 | Protective Life | Family Medicine | 2801 Us 280, Birmingham, AL 35223 | 2014-10-23 |
| 1649614330 | Furnie Wesley Johnston | Orthopaedic Surgery | 3328 East Briarcliff, Birmingham, AL 35223 | 2013-04-24 |
| 1346594314 | Morgan Stacy King | Chiropractor | 16 Office Park Cir Ste 8, Mountain Brk, AL 35223 | 2012-10-30 |
| 1659637684 | Austin Adams | Otolaryngology | 2700 Highway 280 S Ste 300w, Mountain Brk, AL 35223 | 2012-04-04 |
| 1205165008 | Rebecca Winston Brewbaker | Pediatrics | 3940 Montclair Rd #404, Birmingham, AL 35223 | 2009-12-08 |
| 1891948949 | Birmingham Speech & Hearing Associates | Speech-Language Pathologist | 4 Office Park Circle Suite 301, Birmingham, AL 35223 | 2008-11-01 |
| 1255598884 | William Edgar Feist | Internal Medicine | 2801 Highway 280 South, Protective Life Insurance Company, Birmingham, AL 35223 | 2008-05-21 |
| Find all providers in zip 35223 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932577947 | Susan Teske | Dietitian, Registered | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2015-09-08 |
| 1598905911 | Julie Kilpatrick | Dietitian, Registered | 3000 Johnson Rd Sw, Huntsville, AL 35805-5847 | 2009-02-25 |
| City | MOUNTAIN BRK |
| Zip Code | 35223 |
Please comment or provide details below to improve the information on THRIVE PEDIATRIC NUTRITION SPECIALISTS, INC.
| 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.