Healthful Nutrition Services PLLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

Legal business name

HEALTHFUL NUTRITION SERVICES PLLC

Practice address

1 Crystal Hill Dr
Pomona, NY 10970-2601

Phone

(845) 520-8336

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Marie Theagene, MS RD CSR CDN CDCES

Title

Owner

Phone

(845) 270-5775

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700265600000",
    "number": "1275315400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109230128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRYSTAL HILL DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702601",
            "telephone_number": "845-520-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFUL NUTRITION SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A",
        "authorized_official_last_name": "THEAGENE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-270-5775",
        "authorized_official_credential": "MS RD CSR CDN CDCES"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Hackell, M.D.
• Edward George Hall, MEDICAL DOCTOR
• Kim Marie Hallinan, NP
• Richard E. Handelsman, DO
• Health Psychiatry of New York PC
• Michael Hecker, RN
• David N Heilbronn, PT
• Elliot A Heller, MD
• Rachel Lee Hemeter, PA
• Quentin Greer Hendrix, D.C.

• Renal Nutrition Registered Dietitian in Pomona, NY
• Providers in Pomona, NY by specialty
• Renal Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.