NORTHERN NUTRITION GROUP, LLC (NPI# 1740754472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740754472 |
| Entity Type | Organization |
| Organization Name | NORTHERN NUTRITION GROUP, LLC |
| Practice Address |
300 N Willson Ave Ste 602f-5 Bozeman MT 59715-3551 |
| Mailing Address |
Po Box 73 Bozeman MT 59771 |
| Practice Telephone | 4066249875 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | KIMBERLY JOHNSON (OWNER) |
| Authorized Official Telephone | 2295608807 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 321 E Main St, Bozeman, MT 597156241 | 2295608807 |
| Street Address |
300 N WILLSON AVE STE 602F-5 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| 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 |
|---|---|---|---|---|
| 1992319669 | Colleen Rose Mcmilin | Dietitian, Registered | 562 Enterprise Blvd Apt 49, Bozeman, MT 59718-5133 | 2020-09-01 |
| 1750933891 | Mercedes Seidel | Dietitian, Registered | 309 E Garfield St Apt F, Bozeman, MT 59715-5729 | 2019-07-09 |
| 1134691231 | Dana Anne Zurchin | Dietitian, Registered | 300 N Willson Ave Ste 602f-3, Bozeman, MT 59715-3551 | 2018-12-30 |
| 1003382227 | Transforming Nutrition Care | Dietitian, Registered | 14 South Willson Ave, Bozeman, MT 59715 | 2018-10-15 |
| 1548745508 | Emely Lambert | Dietitian, Registered | 414 Shelter Grove Cir, Bozeman, MT 59718-8248 | 2018-09-26 |
| 1972090611 | Laura Christine Pinnick | Dietitian, Registered | 321 E Main St Ste 202, Bozeman, MT 59715 | 2018-04-18 |
| 1134654759 | Kimberly Johnson | Dietitian, Registered | 110 E College St, Bozeman, MT 59715-5318 | 2017-04-21 |
| 1306383617 | Rebecca Rose Cawood | Dietitian, Registered | 1006 S 15th Ave, Bozeman, MT 59715-4905 | 2017-01-24 |
| 1821549015 | Jenna Gorham Nutrition Consulting | Dietitian, Registered | 601 Nikles Dr Ste 11, Bozeman, MT 59715-2570 | 2016-10-22 |
| 1598213662 | Sara Elizabeth Jay | Dietitian, Registered | 2811 Langohr Ave, Bozeman, MT 59715-6116 | 2016-09-16 |
| Find all providers in BOZEMAN | ||||
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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.