Nourished Fox, LLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

Legal business name

NOURISHED FOX, LLC

Practice address

101 E Coso Ave # 656
Ridgecrest, CA 93555-3655

Phone

(818) 391-0097

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Miss Doris A Delgado, RDN

Title

Ceo, Founder/RDN

Phone

(818) 391-0097

Specialties & licenses 2

Addresses

Other names 1

• Nourished Fox, LLC Former legal business name

Locations

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1104447515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E COSO AVE # 656",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553655",
            "telephone_number": "818-391-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E COSO AVE # 656",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553655",
            "telephone_number": "818-391-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED FOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO, FOUNDER/RDN",
        "authorized_official_telephone_number": "818-391-0097",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nourished Fox, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Renal Nutrition Registered Dietitian in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Renal Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.