Organization Active NPI

Thrive Nutrition & Wellness, LLC

  • Nutritionist
  • Amherst, NY
National Provider Identifier
1043718158
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
009264 Issued in NY
Legal business name
THRIVE NUTRITION & WELLNESS, LLC
Practice address
4575 Main St Ste 3
Amherst, NY 14226-4567
Phone
(716) 983-4474
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Andrea Langston, CNS, CDN
Title
Owner/Nutritionist
Phone
(716) 983-4474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X 009264 NY Primary

Addresses

Primary practice location

4575 Main St Ste 3
Amherst, NY 14226-4567

Mailing address

115 Jordan Rd
Amherst, NY 14221-4465

National Provider Directory

National Provider Directory

Locations

4575 Main St
Ste 3
Buffalo, NY 14226
Phone (716) 839-1800

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1043718158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JORDAN RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142214465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST STE 3",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264567",
            "telephone_number": "716-983-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE NUTRITION & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/NUTRITIONIST",
        "authorized_official_telephone_number": "716-983-4474",
        "authorized_official_credential": "CNS, CDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "009264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.