Organization Active NPI

Nourished Iq Nutrition Studio LLC

  • Registered Dietitian
  • Florence, MT
National Provider Identifier
1104690734
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NOURISHED IQ NUTRITION STUDIO LLC
Practice address
5570 Sapphire Ridge Rd
Florence, MT 59833-6657
Phone
(406) 384-7290
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Elaina Virostko, MS, RDNNPI 1225425457
Title
Owner, Registered Dietitian
Phone
(406) 384-7290

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
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

5570 Sapphire Ridge Rd
Florence, MT 59833-6657

Mailing address

5570 Sapphire Ridge Rd
Florence, MT 59833-6657
Phone (406) 384-7290

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1104690734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 SAPPHIRE RIDGE RD",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598336657",
            "telephone_number": "406-384-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 SAPPHIRE RIDGE RD",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598336657",
            "telephone_number": "406-384-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED IQ NUTRITION STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "VIROSTKO",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "406-384-7290",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.