Nicholas Nutrition & Optimal Wellness Now

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NICHOLAS NUTRITION & OPTIMAL WELLNESS NOW

Doing business as

Dietitians In Home

Practice address

114 State St
Lake Charles, LA 70605-5718

Phone

(337) 419-0942

Fax

(337) 314-1243

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Tabitha Nicholas, MS, RDN, LDN

Title

Registered Dietitian/Owner

Phone

(337) 419-0942

Specialties & licenses 1

Addresses

Other names 1

• Dietitians In Home Doing business as

Locations

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1154982460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 FLATWOOD DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074324",
            "telephone_number": "337-419-0942",
            "fax_number": "337-314-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 STATE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055718",
            "telephone_number": "337-419-0942",
            "fax_number": "337-314-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS NUTRITION & OPTIMAL WELLNESS NOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "337-419-0942",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dietitians In Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nhu Pham Thao Nguyen, PHARMD
• Nhu-Everly Quynh Nguyen, PHARMD
• Thien C Nguyen, PHARMD
• Tony Viet-Son Nguyen, PST
• Trang Theresa Nguyen, MHS
• Tabitha Nicholas, M.S., RD, LDN
• Marla Nichols, OT
• Paul Hooper Nichols, M.D.
• Nikki Children'S Home
• Christopher Niles, MHP

• Registered Dietitian in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.