NPIMap

Organization Active NPI

Thrive Family Nutrition Services, LLC

  • Registered Dietitian
  • Payson, UT
National Provider Identifier
1275862807
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
6324049-4901 Issued in UT
Legal business name
THRIVE FAMILY NUTRITION SERVICES, LLC
Practice address
910 E 100 N
Suite 105
Payson, UT 84651-1635
Phone
(801) 857-7440
Fax
(866) 340-7791
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mrs. Connie L Packer, MS, RD, CD
Title
Registered Dietitian/Owner
Phone
(801) 857-7440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 6324049-4901 UT Primary

Addresses

Primary practice location

910 E 100 N
Suite 105
Payson, UT 84651-1635

Mailing address

374 S 1230 W
Spanish Fork, UT 84660-5531
Phone (801) 857-7440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1275862807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 S 1230 W",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605531",
            "telephone_number": "801-857-7440",
            "fax_number": "866-340-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 100 N",
            "address_2": "SUITE 105",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511635",
            "telephone_number": "801-857-7440",
            "fax_number": "866-340-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE FAMILY NUTRITION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "PACKER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "801-857-7440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "6324049-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.