Organization Active NPI

Foundations Nutrition & Lifestyle Counseling, LLC

  • Registered Dietitian
  • Madison, AL
National Provider Identifier
1114856036
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FOUNDATIONS NUTRITION & LIFESTYLE COUNSELING, LLC
Practice address
132 Bayberry LN
Madison, AL 35758-6013
Phone
(256) 696-0406
NPI assigned
May 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Mrs. Amy K McCormack, MS, RD, LDNNPI 1063668556
Title
Dietitian
Phone
(256) 696-0406

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: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

132 Bayberry LN
Madison, AL 35758-6013

Mailing address

132 Bayberry LN
Madison, AL 35758-6013
Phone (256) 258-9606

National Provider Directory

National Provider Directory

Locations

11156 County Line Rd
Madison, AL 35756
Phone (256) 696-0406

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": "1778889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1114856036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BAYBERRY LN",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586013",
            "telephone_number": "256-258-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 BAYBERRY LN",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586013",
            "telephone_number": "256-696-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS NUTRITION & LIFESTYLE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "256-696-0406",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.