Nourish for the Love of Food LLC
Organization Active NPI Registered Dietitian · Fairfield, MT
NPI 1326528688 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1326528688
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- NOURISH FOR THE LOVE OF FOOD LLC
- Practice address
- 867 1St Rd NE
Fairfield, MT 59436-9141 - Phone
- (406) 781-8294
- NPI assigned
- Aug 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Christina Skinner, RD
- Title
- Sole Owner
- Phone
- (406) 781-8294
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190603000952 | MT | Part B Supplier - Clinic/Group Practice | 2365775558 |
Receives reassigned benefits from 1 practitioner Practice locations: Fairfield, MT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
867 1St Rd NE
Fairfield, MT 59436-9141
Mailing address
PO Box 206
Fairfield, MT 59436-0206
Phone (406) 781-8294
Other providers in Fairfield, MT
- Fairfield Drug Inc
- Fairfield Medical Clinic LLP
- Preslie Fleming
- Front Range Assisted Living, Inc.
- Frontier Family Practice
- Pivot Physical Therapy
- Grant Damon Poor
- Christina Marie Skinner
- Tammie Sue Smith
- Carmen Kay Staigmiller
All providers in Fairfield, MT · Registered Dietitian in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.