Active NPI
New River Nutrition LLC
- Nutritionist
- Roanoke, VA
National Provider Identifier
1275377244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- NEW RIVER NUTRITION LLC
- Practice address
- 2119 Memorial Ave SW
Roanoke, VA 24015-2033 - Phone
- (804) 868-9899
- NPI assigned
- Jun 24, 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
- Laura Denyes, MSCN
- Title
- Functional Nutritionist
- Phone
- (804) 868-9899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
2119 Memorial Ave SW
Roanoke, VA 24015-2033
Mailing address
2119 Memorial Ave SW
Roanoke, VA 24015-2033
Other names 1
- Nourish Naturally
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1275377244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 MEMORIAL AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240152033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 MEMORIAL AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240152033",
"telephone_number": "804-868-9899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW RIVER NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "DENYES",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "FUNCTIONAL NUTRITIONIST",
"authorized_official_telephone_number": "804-868-9899",
"authorized_official_credential": "MSCN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nourish Naturally",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.