Simplistic Nutrition LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SIMPLISTIC NUTRITION LLC

Practice address

116 W Grand Ave Ste 210
Port Washington, WI 53074-2242

Phone

(224) 221-1339

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Brianna Jurss, RDNPI 1376389585

Title

Owner

Phone

(224) 221-1339

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brianna Jurss, RD

  • Registered Dietitian
  • Port Washington, WI
  • NPI 1376389585
  Authorized official Same address or phone

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1063258275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 GLENLYON LN",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530749691",
            "telephone_number": "224-221-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W GRAND AVE STE 210",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742242",
            "telephone_number": "224-221-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLISTIC NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "JURSS",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-221-1339",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brooke Shimon, OTR
• Timothy J Shininger, LCSW LMFT
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 503)
• Angella Adelle Siegel, OTR
• Cheryl L Simon, RN
• Jaclyn Sitkowski
• Laura S Skinner
• Chris Smith, MDIV LMFT
• Allen R Spaude, DC
• Richard Spenner Sr.

• Community/Behavioral Health Agency in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.