The Fresh Beet Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE FRESH BEET NUTRITION LLC

Practice address

1609 W Moss Ave
Peoria, IL 61606-1642

Phone

(843) 410-8233

NPI assigned

Jan 15, 2019

Last updated

Jan 15, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashley G Thomas, MS, RDNPI 1437536984

Title

Registered Dietitian/Owner

Phone

(843) 410-8233

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Thomas, MS, RD/LDN

  • Registered Dietitian
  • Peoria, IL
  • NPI 1437536984
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1003380866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W MOSS AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061642",
            "telephone_number": "843-410-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W MOSS AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061642",
            "telephone_number": "843-410-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FRESH BEET NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "843-410-8233",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.