Thrive Nutrition Counseling LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5348 Issued in OH

Legal business name

THRIVE NUTRITION COUNSELING LLC

Practice address

4941 Shady Knoll Ave NW
Massillon, OH 44646-9518

Phone

(330) 705-6040

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Anne Lawrence, RDN

Title

Owner

Phone

(330) 705-6040

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1265949580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 SHADY KNOLL AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469518",
            "telephone_number": "330-705-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 SHADY KNOLL AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469518",
            "telephone_number": "330-705-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE NUTRITION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-705-6040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "722932",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "5348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Massillon, OH
• Providers in Massillon, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.