NPIMap

Organization Active NPI

Nourish RX, LLC

  • Registered Dietitian
  • Beverly, MA
National Provider Identifier
1013209204
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3068 Issued in MA
Legal business name
NOURISH RX, LLC
Practice address
7 Reservoir Rd
Beverly, MA 01915-5501
Phone
(978) 473-1536
Fax
(866) 921-9387
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Ryann Collins, RD, LDN
Title
Owner, President
Phone
(978) 473-1536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 3068 MA Primary

Addresses

Primary practice location

7 Reservoir Rd
Beverly, MA 01915-5501

Mailing address

7 Reservoir Rd
Beverly, MA 01915-5501
Phone (978) 473-1536

National Provider Directory

National Provider Directory

Locations

9 Dane St
Beverly, MA 01915
Phone (978) 524-0400

7 Reservoir Rd
Beverly, MA 01915
Phone (978) 524-0333

16 Front St
Ste 209
Salem, MA 01970
Phone (978) 927-0990

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1013209204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RESERVOIR RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155501",
            "telephone_number": "978-473-1536",
            "fax_number": "866-921-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RESERVOIR RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155501",
            "telephone_number": "978-473-1536",
            "fax_number": "866-921-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RYANN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "978-473-1536",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.