Prescriptive Nutrition, LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

0449 Issued in AR

Legal business name

PRESCRIPTIVE NUTRITION, LLC

Practice address

3205 W Main St
Russellville, AR 72801-2301

Phone

(479) 651-8547

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Gina Anne Kersh, RDN, LDNPI 1942613302

Title

Registered Dietitian, Nutritionist

Phone

(479) 651-8547

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Anne Kersh, RDN, LD

  • Nutrition Education Nutritionist
  • Russellville, AR
  • NPI 1942613302
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1285040386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012301",
            "telephone_number": "479-651-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012301",
            "telephone_number": "479-651-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTIVE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "KERSH",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, NUTRITIONIST",
        "authorized_official_telephone_number": "479-651-8547",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "AR",
            "license": "0449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Kirkbride Potts, MHPP
• Kaylee Potts, OT
• Power Chiropractic, PA
• Frankie Leon Pratt Jr., PT
• Taylor Nicole Pratt, HIS
• Hope Rhianne Price
• Jacqueline Devin Price, APRN
• Larry Price, M.D.
• Margaret (Margie) M. Price, SPEECH-LANGUAGE PATH
• Regina D Prince, CRNA

• Nutritionist in Russellville, AR
• Providers in Russellville, AR by specialty
• Nutritionist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.

Verify at the official NPI Registry.