Fuel Performance Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

FUEL PERFORMANCE NUTRITION LLC

Practice address

2713 W Pecan Rd
Phoenix, AZ 85041-4421

Phone

(970) 309-2600

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Laura Simmons, MS, RDNNPI 1003459280

Title

Dietitian/Owner

Phone

(253) 479-8399

Specialties & licenses 1

Addresses

Practitioners 1

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

• Laura Grace Simmons, MS, RDN, CD

  • Registered Dietitian
  • Phoenix, AZ
  • NPI 1003459280

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1063252617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 W PECAN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414421",
            "telephone_number": "970-309-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 W PECAN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414421",
            "telephone_number": "970-309-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1178 SE 13th Pl",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "WA",
            "postal_code": "980455034",
            "country_code": "US",
            "telephone_number": "253-470-8399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUEL PERFORMANCE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIETITIAN/OWNER",
        "authorized_official_telephone_number": "253-479-8399",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FSL Programs
• FSR Intergrative Services, Inc.
• Quinney Fu
• Ruying Fu
• Anna Marie Fuder-Boehm, APRN
• Sarah Fuentebella
• Elsa Tamara Fuentes-Velazquez
• Christopher Fuentes
• Joel Fuentes, PA-C
• Khara Fuentes

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.