Organization Active NPI

Nourish - Body and Mind, LLC

  • Registered Dietitian
  • Fernandina Beach, FL
National Provider Identifier
1376129593
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NOURISH - BODY AND MIND, LLC
Practice address
95072 Windflower TRL
Fernandina Beach, FL 32034-3798
Phone
(908) 892-1747
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Ms. Alison Marion Varhol, MS, RDN, LDNNPI 1255943908
Title
Registered Dietitian
Phone
(908) 892-1747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

95072 Windflower TRL
Fernandina Beach, FL 32034-3798

Mailing address

95072 Windflower TRL
Fernandina Beach, FL 32034-3798
Phone (908) 892-1747

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1376129593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95072 WINDFLOWER TRL",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343798",
            "telephone_number": "908-892-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95072 WINDFLOWER TRL",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343798",
            "telephone_number": "908-892-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH - BODY AND MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "VARHOL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "908-892-1747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.