Nourish Functional Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN003286 Issued in PA

Legal business name

NOURISH FUNCTIONAL NUTRITION, LLC

Practice address

1150 1St Ave
Suite 501
King of Prussia, PA 19406-1334

Phone

(267) 416-0046

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Kirsten L. Hamilton, R.D.N., L.D.N.NPI 1336565233

Title

Registered Dietitian Nutritionist

Phone

(267) 416-0046

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirsten Hamilton, R.D.N., L.D.N.

  • Registered Dietitian
  • Harleysville, PA
  • NPI 1336565233

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1336686690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 HIGH ST",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381708",
            "telephone_number": "267-644-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 1ST AVE",
            "address_2": "SUITE 501",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061334",
            "telephone_number": "267-416-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH FUNCTIONAL NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "267-416-0046",
        "authorized_official_credential": "R.D.N., L.D.N."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcelle F Norwood, CRNA
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• Monica Lynn Nugent, MS, OTRL
• Qendresa Nuredini
• Stephanie Nuse
• Christiana Nwogu, FNP-BC

• Registered Dietitian in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.