Organization Active NPI

Prime Nutrition Solutions, LLC

  • Registered Dietitian
  • Lafayette, IN
National Provider Identifier
1003784729
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PRIME NUTRITION SOLUTIONS, LLC
Practice address
6424 S 500 E
Lafayette, IN 47909-9173
Phone
(765) 203-1645
Fax
(833) 633-4467
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Jessica Rorick, MS, RD, LDNPI 1316823875
Title
Member
Phone
(765) 203-1645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

6424 S 500 E
Lafayette, IN 47909-9173

Mailing address

6424 S 500 E
Lafayette, IN 47909-9173
Phone (765) 203-1645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251124001575 IN Part B Supplier - Clinic/Group Practice 3173015591 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1003784729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 S 500 E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099173",
            "telephone_number": "765-203-1645",
            "fax_number": "833-633-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 S 500 E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099173",
            "telephone_number": "765-203-1645",
            "fax_number": "833-633-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME NUTRITION SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "RORICK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "765-203-1645",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.