Organization Active NPI

Nutrition 4 All, LLC

  • Registered Dietitian
  • Lewisville, NC
National Provider Identifier
1003421884
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION 4 ALL, LLC
Practice address
626 Lissara Lodge Dr
Lewisville, NC 27023-9834
Phone
(717) 798-5091
Fax
(336) 860-1655
NPI assigned
Sep 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Diane M Shenberger, RDN, LDN
Title
Registered Dietitian/Owner
Phone
(717) 798-5091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

626 Lissara Lodge Dr
Lewisville, NC 27023-9834

Mailing address

626 Lissara Lodge Dr
Lewisville, NC 27023-9834
Phone (717) 798-5091

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1003421884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 LISSARA LODGE DR",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239834",
            "telephone_number": "717-798-5091",
            "fax_number": "336-860-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 LISSARA LODGE DR",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239834",
            "telephone_number": "717-798-5091",
            "fax_number": "336-860-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION 4 ALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "SHENBERGER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "717-798-5091",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.