Soulflower Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SOULFLOWER NUTRITION LLC

Practice address

109 Zermat Dr # 1389
Crestline, CA 92325-9391

Phone

(909) 897-3002

Fax

(909) 589-1020

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Lynn Meyle, RDNPI 1578591392

Title

President

Phone

(909) 897-3002

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.

• Jessica L Meyle, RD, L.D.N.

  • Registered Dietitian
  • Crestline, CA
  • NPI 1578591392

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1205603784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 4623",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "909-897-3002",
            "fax_number": "909-589-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ZERMAT DR # 1389",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923259391",
            "telephone_number": "909-897-3002",
            "fax_number": "909-589-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFLOWER NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "MEYLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-897-3002",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Joseph Schutt
• Jean Sherman, LVN
• Isabel N Sierra
• Kelly Simione
• Joanna Slusser
• Katie Nicole Stahl-Kovell
• Misty Strait
• Lindsey Suski
• Lynn Talmon, LMFT
• Rory Talmon

• Registered Dietitian in Crestline, CA
• Providers in Crestline, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.