Organization Active NPI

Nourishing Nutrition Consulting LLC

  • Registered Dietitian
  • Peachtree City, GA
National Provider Identifier
1053866970
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004705 Issued in GA
Legal business name
NOURISHING NUTRITION CONSULTING LLC
Practice address
14 Eastbrook BND Ste 204
Peachtree City, GA 30269-1521
Phone
(724) 989-0119
NPI assigned
Aug 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Laura Marchese, R.D.N., L.D.NPI 1689127599
Title
Owner/Registered Dietitian
Phone
(724) 989-0119

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X LD004705 GA Primary
Pediatric Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1004X LD004705 GA
Renal Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1005X LD004705 GA
Metabolic Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1006X LD004705 GA

Addresses

Primary practice location

14 Eastbrook BND Ste 204
Peachtree City, GA 30269-1521

Mailing address

14 Eastbrook BND Ste 204
Peachtree City, GA 30269-1521
Phone (724) 989-0119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161007000998 GA Part B Supplier - Clinic/Group Practice 0648568600 Receives reassigned benefits from 1 practitioner
Practice locations: Peachtree City, GA

National Provider Directory

National Provider Directory

Locations

14 Eastbrook Bnd
Ste 212
Peachtree City, GA 30269
Phone (724) 989-0119

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": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1053866970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 EASTBROOK BND STE 204",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691521",
            "telephone_number": "724-989-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 EASTBROOK BND STE 204",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691521",
            "telephone_number": "724-989-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING NUTRITION CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MARCHESE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "724-989-0119",
        "authorized_official_credential": "R.D.N., L.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004705",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "GA",
            "license": "LD004705",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "LD004705",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "GA",
            "license": "LD004705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.