Practically Well Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PRACTICALLY WELL NUTRITION LLC

Practice address

45875 Bell School Rd Ste B
East Liverpool, OH 43920-8728

Phone

(330) 333-0389

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Jacquelyn Phillips, MS RD LD CDCESNPI 1245797737

Title

Owner

Phone

(330) 651-7571

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jacquelyn K Phillips, LD

  • Registered Dietitian
  • Canfield, OH
  • NPI 1245797737

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1407615487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 NEFF DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45875 BELL SCHOOL RD STE B",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208728",
            "telephone_number": "330-333-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICALLY WELL NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-651-7571",
        "authorized_official_credential": "MS RD LD CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jane Plum, COTA
• Jennifer Lynn Poling, LISW, LICDC
• Christine Rae Popkie, RN, BSN,MSN, CRNP
• Annakutty Kurian Poriath, MD
• Tamika Marie Potts, FNP-BC
• Ashley Prevot
• Katherine Prezioso, LISW
• William Anthony Price, M.D.
• Georgianna Lee Prince-Long, AU.D.
• Professional Dental Alliance of East Liverpool, LLC

• Registered Dietitian in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.