Feed Your Soul LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FEED YOUR SOUL LLC

Practice address

2917 N Highland Ave
Jackson, TN 38305-3407

Phone

(731) 300-1010

Fax

(731) 214-1816

NPI assigned

Sep 10, 2018

Last updated

Nov 17, 2024By 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

Traci SchottNPI 1932217783

Title

LCSW/Owner

Phone

(731) 400-8022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 7

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.

• Traci Schott, LCSW

  • Clinical Social Worker
  • Jackson, TN
  • NPI 1932217783
  Medicare reassignment NPD Authorized official
• Miranda Dianne Dudley, LMSW

  • Social Worker
  • Jackson, TN
  • NPI 1306701156
  NPD
• Stephanie Elaine Goins-Jones, MSED

  • Clinical Social Worker
  • Jackson, TN
  • NPI 1255217196
  NPD
• Haley Henley, LMSW

  • Social Worker
  • Jackson, TN
  • NPI 1407712292
  NPD
• Alymarie Taylor Laird, LCSW

  • Clinical Social Worker
  • Jackson, TN
  • NPI 1114655198
  NPD
• Theresa Powell, LMSW

  • Social Worker
  • Jackson, TN
  • NPI 1770249898
  NPD
• Kaitlyn Michelle Thomas

  • Social Worker
  • Jackson, TN
  • NPI 1891642336
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731801600000",
    "number": "1215410816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10233",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383080103",
            "telephone_number": "731-400-8022",
            "fax_number": "731-214-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053407",
            "telephone_number": "731-300-1010",
            "fax_number": "731-214-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEED YOUR SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "SCHOTT",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "731-400-8022"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C Farrar, M.D.
• Jennifer Farroll, ED.D., LAT, ATC
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• FCD of Jackson, PLLC
• Beverly Jan Ferguson, RN
• Lesa F Ferguson, APN
• Amber D Fern, PA-C
• Jessica M Ferrell, M.D.
• Heather N Fesmire, P.A.

• Clinical Social Worker in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.