Eat Well to Be Well, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

884534 Issued in OH

Legal business name

EAT WELL TO BE WELL, LLC

Practice address

819 Southwestern Run
Poland, OH 44514-3688

Phone

(330) 550-3655

Fax

(888) 482-5741

NPI assigned

Oct 8, 2015

Organization subpart

No

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

Authorized official

Name

Kelly L Scott, RD, LDNPI 1104222652

Title

Owner

Phone

(330) 550-3655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

• Kelly L Scott, RD, LD

  • Registered Dietitian
  • Youngstown, OH
  • NPI 1104222652

  Dietitian, Registered, OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1013388693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 ISLAND DR",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145603",
            "telephone_number": "330-550-3655",
            "fax_number": "888-482-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SOUTHWESTERN RUN",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "330-550-3655",
            "fax_number": "888-482-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT WELL TO BE WELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-550-3655",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "884534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Dixon
• Dr James M. Kover O.D. Eye Care. PA, Co.
• Dr. William S. Diorio, Inc.
• Robert Dray III, PHARM. D
• Arthur W Duran, DO
• Daniel M Ebert, MD
• Ashlie Eckman
• Kelsey Edwards, CTRS
• Gabrielle Eisel, APRN
• Lisa M Elliott, CNP

• All providers in Poland, OH
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.