Active NPI
Traveling Mama Enterprises, LLC
Doing business as Home Grown Nutrition
- Registered Dietitian
- Whitehall, MT
National Provider Identifier
1275177560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- TRAVELING MAMA ENTERPRISES, LLC
- Doing business as
- Home Grown Nutrition
- Practice address
- 67 S Lewis and Clark TRL
Whitehall, MT 59759-9547 - Phone
- (406) 209-3995
- Fax
- (406) 451-0551
- NPI assigned
- Oct 30, 2019
- Last updated
- Jul 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Horner, MPH, RD, CLC, RDN
- Title
- Owner
- Phone
- (406) 209-3995
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
67 S Lewis and Clark TRL
Whitehall, MT 59759-9547
Mailing address
67 S Lewis and Clark TRL
Whitehall, MT 59759-9547
Phone (406) 209-3995
Other names 1
- Home Grown Nutrition
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1275177560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 S LEWIS AND CLARK TRL",
"city": "WHITEHALL",
"state": "MT",
"postal_code": "597599547",
"telephone_number": "406-209-3995",
"fax_number": "406-451-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 S LEWIS AND CLARK TRL",
"city": "WHITEHALL",
"state": "MT",
"postal_code": "597599547",
"telephone_number": "406-209-3995",
"fax_number": "406-451-0551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAVELING MAMA ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-30",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A",
"authorized_official_last_name": "HORNER",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-209-3995",
"authorized_official_credential": "MPH, RD, CLC, RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Grown Nutrition",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Home Grown Nutrition",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Whitehall, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.