NUTRITION FOR LIFE, LLC (NPI# 1952614976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952614976 |
| Entity Type | Organization |
| Organization Name | NUTRITION FOR LIFE, LLC |
| Practice Address |
6596 Crosswinds Ct Avon IN 46123-7375 |
| Practice Telephone | 3176525259 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |
| Authorized Official Name | CYNTHIA S CARMACK (OWNER) |
| Authorized Official Telephone | 3176525259 |
| Authorized Official Credential | RD, CD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
6596 CROSSWINDS CT |
| City | AVON |
| State | IN |
| Zip Code | 46123-7375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598078321 | Cynthia S Carmack | Dietitian, Registered | 6596 Crosswinds Ct, Avon, IN 46123-7375 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| 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 |
|---|---|---|---|---|
| 1760099956 | Jessica Thornton | Dietitian, Registered | 5919 Pine Bluff Dr, Avon, IN 46123-6681 | 2020-09-30 |
| 1245842228 | Hannah Yoo | Dietitian, Registered | 24 Old Farms Xing, Avon, CT 06001-2245 | 2020-08-20 |
| 1003424516 | Bradley Russell Horton | Dietitian, Registered | 7681 Doone Valley Ct, Avon, IN 46123-7882 | 2020-07-21 |
| 1235764036 | Allison Bouzek | Dietitian, Registered | 867 Sunvista Dr, Avon, IN 46123-6542 | 2020-03-12 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1073753802 | Lynn Erin Kurzawa | Dietitian, Registered | 31a Ensign Drive, Avon, CT 06001 | 2009-03-06 |
| 1851586341 | Sharon Lesley Werner | Dietitian, Registered | 6 Raymond Rd, Avon, CT 06001-3629 | 2007-09-08 |
| 1073636254 | Tayyebeh Loghmani | Dietitian, Registered | 1111 N. Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2007-04-10 |
| 1881773752 | Sharon Sue Knight | Dietitian, Registered | 5 Rivermead, Avon, CT 06001-2060 | 2006-11-03 |
| 1891761235 | Marcia E Goldsholl | Dietitian, Registered | 57 Old Kings Rd, Avon, CT 06001-2300 | 2006-02-26 |
| Find all providers in AVON | ||||
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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.