Nourished One

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

NOURISHED ONE

Practice address

6161 NW 2ND Ave Apt 214
Boca Raton, FL 33487-3047

Phone

(817) 542-6323

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Annie Lin, CNSNPI 1497324107

Title

Owner

Phone

(817) 542-6323

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Annie Lin, DCN, CNS, LDN

  • Nutrition Education Nutritionist
  • Tamarac, FL
  • NPI 1497324107

  Nutrition, Education

  NPD Authorized official

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1053980763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 NW 2ND AVE APT 214",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873047",
            "telephone_number": "817-542-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 NW 2ND AVE APT 214",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873047",
            "telephone_number": "817-542-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-542-6323",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.nourishedone.com",
            "affiliation": "N",
            "address_1": "6161 NW 2nd Ave Apt 214",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334873047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Patrick Norton, M.D.
• Vicki Diana Norton, M.D.
• Gary Norwood, D.O.M.
• Susan Amy Noss, MS RDN LDN
• Leonard Emmanuel Noud, DMD
• Erika Nourishirazi
• Ashley Nousain, MS, CCC-SLP
• Hunter Robin Novak, DC
• Mark Novak, LMHC
• Stephen Paul Novak, DMD

• Nutrition Education Nutritionist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Nutrition Education Nutritionist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.