Sophie Dolan Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SOPHIE DOLAN NUTRITION, LLC

Practice address

2208 University Blvd Ste 102
Birmingham, AL 35233-2313

Phone

(205) 259-6710

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Sophia Burge, MS, RDN, LDNPI 1053857540

Title

Dietitian/Owner

Phone

(205) 532-5990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

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

• Megan Ferrell Word, MPH, RDN

  • Registered Dietitian
  • Birmingham, AL
  • NPI 1780272765

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Sophia E. Burge, MS, RD, LDN

  • Registered Dietitian
  • Birmingham, AL
  • NPI 1053857540
  Medicare reassignment Authorized official
• Helen Claire Nesbitt, RD, LD

  • Registered Dietitian
  • Birmingham, AL
  • NPI 1669324430
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1336866532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 UNIVERSITY BLVD STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332313",
            "telephone_number": "205-259-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 UNIVERSITY BLVD STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332313",
            "telephone_number": "205-259-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIE DOLAN NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "DIETITIAN/OWNER",
        "authorized_official_telephone_number": "205-532-5990",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda D Soong, M.D.
• Vera Y. Soong, M.D.
• Weily Soong, M.D.
• Grace Ann Sooter, MS, OTR/L
• Iradj Sooudi, DMD
• Robert Sorabella, MD
• Ryan K Sorenson, CRNA
• Pam P Sori, LCSW
• Esperanza Soriano-Sanchez, M.ED, ALC
• Karol P Sornsin, CRNA

• Registered Dietitian in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.