Organization Active NPI

New River Nutrition LLC

  • Nutritionist
  • Roanoke, VA
National Provider Identifier
1275377244
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
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

Updated by the provider on Jun 24, 2024

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)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.