Whole Life Functional Nutrition and Fitness, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

816010 Issued in NJ

Legal business name

WHOLE LIFE FUNCTIONAL NUTRITION AND FITNESS, LLC

Doing business as

Whole Life Functional Nutrition

Practice address

217 Morris Ave
Suite 2C
Spring Lake, NJ 07762-1336

Phone

(732) 449-4040

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Frances Henig, RD

Title

Clinical Nutritionist

Phone

(732) 449-4040

Specialties & licenses 1

Addresses

Other names 1

• Whole Life Functional Nutrition Doing business as

Locations

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1265857957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MORRIS AVE",
            "address_2": "SUITE 2C",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621336",
            "telephone_number": "732-449-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MORRIS AVE",
            "address_2": "SUITE 2C",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621336",
            "telephone_number": "732-449-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE FUNCTIONAL NUTRITION AND FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "HENIG",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "CLINICAL NUTRITIONIST",
        "authorized_official_telephone_number": "732-449-4040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "816010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Life Functional Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Weeks, MSW, LCSW
• Jeffrey Adam Weisslitz, PSYD, LPC
• Wellington Estates LLC
• Jill Wells, OTR/L
• Howard Welt, M.D.
• Taylor Wilson, MS, RD
• Allison Campbell Wrede, LCSW

• Medical Specialty Clinic/Center in Spring Lake, NJ
• Providers in Spring Lake, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.