Organization Active NPI

Live With Nutrition LLC

  • Medical Specialty Clinic/Center
  • Flower Mound, TX
National Provider Identifier
1063298636
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
LIVE WITH NUTRITION LLC
Practice address
6101 Long Prairie Rd Ste 752
Flower Mound, TX 75028-6207
Phone
(214) 276-1533
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Elizabeth Stasny, MCN RDN LD CNSCNPI 1992042162
Title
Owner/Rd
Phone
(214) 924-3831

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

6101 Long Prairie Rd Ste 752
Flower Mound, TX 75028-6207

Mailing address

931 Inverness Cir
Lewisville, TX 75077-3148
Phone (214) 924-3831

Other names 1

  • Live With Nutrition Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231013002628 TX Part B Supplier - Clinic/Group Practice 9537514310 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1063298636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 INVERNESS CIR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750773148",
            "telephone_number": "214-924-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 LONG PRAIRIE RD STE 752",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750286207",
            "telephone_number": "214-276-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WITH NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "STASNY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/RD",
        "authorized_official_telephone_number": "214-924-3831",
        "authorized_official_credential": "MCN RDN LD CNSC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live With Nutrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.