Healthy Life Nutritional Services LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN001511 Issued in PA

Legal business name

HEALTHY LIFE NUTRITIONAL SERVICES LLC

Practice address

11070 Greer St
Irwin, PA 15642-4904

Phone

(412) 418-7835

Fax

(724) 863-1388

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Anne Ruffner, RD LDN

Title

Dietitian

Phone

(412) 418-7835

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1164635876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 GREER ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156424904",
            "telephone_number": "412-418-7835",
            "fax_number": "724-863-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11070 GREER ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156424904",
            "telephone_number": "412-418-7835",
            "fax_number": "724-863-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE NUTRITIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "RUFFNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "412-418-7835",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC",
            "identifier": "3707870",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina Hartzell
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• Stacey Hasley
• Behnam Lee Hatam, CRNP
• Lydia K Haught
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• Lucas Heller, M.D.
• Natalie Heltebran
• Elizabeth Henry
• Kayla Henson

• Registered Dietitian in Irwin, PA
• Providers in Irwin, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.