Organization Active NPI

Elite Nutrition Consulting, LLC

  • Registered Dietitian
  • Tullahoma, TN
National Provider Identifier
1407367865
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ELITE NUTRITION CONSULTING, LLC
Practice address
1805 N Jackson St Ste 6
Tullahoma, TN 37388-2275
Phone
(931) 703-1627
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Angie Sowers, RDN,LD
Title
Registered Dietitian
Phone
(931) 703-1627

Specialties & licenses 1

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

Addresses

Primary practice location

1805 N Jackson St Ste 6
Tullahoma, TN 37388-2275

Mailing address

1765 Liberty Rd
Winchester, TN 37398-3013
Phone (931) 703-1627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1407367865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 LIBERTY RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373983013",
            "telephone_number": "931-703-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N JACKSON ST STE 6",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882275",
            "telephone_number": "931-703-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE NUTRITION CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "SOWERS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "931-703-1627",
        "authorized_official_credential": "RDN,LD"
    },
    "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 Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.