Beyond Nutrition Co LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BEYOND NUTRITION CO LLC

Practice address

1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096

Phone

(904) 238-4853

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By 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

Mrs. Jessica Heckroth, RDNPI 1235751504

Title

Owner

Phone

(904) 238-4853

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Jessica Leigh Heckroth, MS, RD

  • Registered Dietitian
  • Wesley Chapel, FL
  • NPI 1235751504

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1194333211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E MAIN ST UNIT 558",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402024711",
            "telephone_number": "904-238-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 GOLDSMITH LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183096",
            "telephone_number": "904-238-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND NUTRITION CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "HECKROTH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-238-4853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "website",
            "affiliation": "N",
            "endpointDescription": "www.thebeyondnutritionco.com",
            "address_1": "1949 Goldsmith Ln Ste 103",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402183096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Beyerle, MD
• Courtney Brooke Beyl, ARNP
• Scott M. Beyl, CRNA
• Beyond Beauty Primary Care & Wellness
• Beyond Massage, LLC
• Megan Bezold
• Divyesh R Bhakta, MD
• Anika Bhargava, MD
• Kalpana Bhaskar
• Suneil Bhaskara

• Registered Dietitian in Louisville, KY
• Providers in Louisville, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.