Treasure State Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

TREASURE STATE NUTRITION LLC

Practice address

702 N Kendrick Ave
Glendive, MT 59330-1817

Phone

(425) 445-5262

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Michael Wolfe, RDN, LNNPI 1295401529

Title

Owner

Phone

(425) 445-5262

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.

• Michael Wolfe

  • Registered Dietitian
  • Glendive, MT
  • NPI 1295401529

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1336815752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N KENDRICK AVE",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301817",
            "telephone_number": "425-445-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N KENDRICK AVE",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301817",
            "telephone_number": "425-445-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE STATE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-445-5262",
        "authorized_official_credential": "RDN, LN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Supple, LCSW
• Taylor'D Wellness Chiropractic, PLLC
• Kim Thompson, LAC
• Amanda Torgerson, FNP
• Meneely Townsend
• Meghan Tweit
• Amanda Sharyce Walton, CBHPSS
• Jennifer Renee' Lambert Wintle, PT, DPT
• Michael Wolfe
• K R Zuroff

• Registered Dietitian in Glendive, MT
• Providers in Glendive, MT by specialty
• Registered Dietitian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.