Absolute Nutrition LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

ABSOLUTE NUTRITION LLC

Practice address

1209 Commerce Dr Ste 101
Mountain Home, AR 72653-2601

Phone

(870) 424-6637

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By 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

Mrs. Tammy Amyx Mitchell

Title

Owner

Phone

(870) 424-6637

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1023202801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 COMMERCE DR STE 101",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532601",
            "telephone_number": "870-424-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 COMMERCE DR STE 101",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532601",
            "telephone_number": "870-424-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "AMYX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-424-6637",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron J Wallace, MD,PLLC
• Abraham Medical Center, PA
• Access Medical Clinic Arkansas LLC
• Patricia Acklin, APRN
• Samantha Lane Acklin, LMSW
• Action EMS
• James Acup, APRN

• Parenteral & Enteral Nutrition Supplies (DME) in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.