Nula Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NULA NUTRITION LLC

Practice address

766 Indian Trail Blvd
Traverse City, MI 49686-3567

Phone

(231) 233-1774

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Lacy Marie Amor, RD, IBCLC

Title

Owner

Phone

(231) 233-1774

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1366055667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 INDIAN TRAIL BLVD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863567",
            "telephone_number": "231-233-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 INDIAN TRAIL BLVD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863567",
            "telephone_number": "231-233-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULA NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "AMOR",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-233-1774",
        "authorized_official_credential": "RD, IBCLC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lynn Novak, MD
• Trisha Ann Novak, LMSW
• Novello Imaging PLC
• Novello Specialty Clinic PC
• Nrmi, LLC
• Mary Nussbaum
• Thomas C Nussdorfer, M.D.
• Noelle Gabrielle Nyquist
• Anya F Nyson, LMSW
• Abigail Marie O'Brien, FNP-C

• Registered Dietitian in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.