Nutritionally Yours LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

L001824 Issued in NC

Legal business name

NUTRITIONALLY YOURS LLC

Practice address

1112 Ladowick LN
Wake Forest, NC 27587-5584

Phone

(919) 426-6956

Fax

(919) 300-8913

NPI assigned

Oct 9, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Manjushree Karkare, MS RDN LDN

Title

Owner

Phone

(919) 426-6956

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1376914853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 LADOWICK LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875584",
            "telephone_number": "919-426-6956",
            "fax_number": "919-930-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 LADOWICK LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875584",
            "telephone_number": "919-426-6956",
            "fax_number": "919-300-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONALLY YOURS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "KARKARE",
        "authorized_official_first_name": "MANJUSHREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-426-6956",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS RDN LDN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "L001824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.