NPIMap

Organization Active NPI

Nourished and Neutral LLC

  • Registered Dietitian
  • Provo, UT
National Provider Identifier
1376381715
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NOURISHED AND NEUTRAL LLC
Doing business as
Brooklin Clements
Practice address
441 N 1220 W
Provo, UT 84601-2440
Phone
(385) 307-6111
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Brooklin Clements, RDN, CDNPI 1083394399
Title
Owner
Phone
(385) 307-6111

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

441 N 1220 W
Provo, UT 84601-2440

Mailing address

441 N 1220 W
Provo, UT 84601-2440
Phone (385) 307-6111

Other names 1

  • Brooklin Clements Doing business as

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1376381715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N 1220 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012440",
            "telephone_number": "385-307-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N 1220 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012440",
            "telephone_number": "385-307-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED AND NEUTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "BROOKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-307-6111",
        "authorized_official_credential": "RDN, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklin Clements",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.