Full-Filled Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN005756 Issued in PA

Legal business name

FULL-FILLED NUTRITION, LLC

Practice address

1903 McArthur Rd
Jamestown, PA 16134-4925

Phone

(814) 210-2012

NPI assigned

May 12, 2017

Last updated

May 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Molly Depree Snyder, RDNNPI 1487000311

Title

Owner/RDN

Phone

(814) 240-2012

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Molly Snyder, RDN, LDN

  • Registered Dietitian
  • Jamestown, PA
  • NPI 1487000311
  Authorized official Same address or phone

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1164959805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 MCARTHUR RD",
            "city": "JAMESTOWN",
            "state": "PA",
            "postal_code": "161344925",
            "telephone_number": "814-210-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 MCARTHUR RD",
            "city": "JAMESTOWN",
            "state": "PA",
            "postal_code": "161344925",
            "telephone_number": "814-210-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL-FILLED NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "DEPREE",
        "authorized_official_title_or_position": "OWNER/RDN",
        "authorized_official_telephone_number": "814-240-2012",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpine Springs Linesville, LLC (Alpine Springs Rehabilitation and Recovery)
• Betty Jean Bardella, MD
• Stacey Leigh Beise
• Greblaw Inc (Jamestown Pharmacy)
• Jamestown Area School District
• Jamestown Volunteer Firemens Association, Inc.
• Kylee Lewis, PHARMD
• Barbara Merovich

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.