Relish Nutrition Therapy LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RELISH NUTRITION THERAPY LLC

Practice address

5705 Susie CT
Austin, TX 78757-4431

Phone

(432) 559-8890

NPI assigned

Jun 16, 2021

Organization subpart

No

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

Authorized official

Name

Amanda Hays, MS, RD, LDNPI 1962095935

Title

Owner, Registered Dietitian

Phone

(432) 559-8890

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

• Amanda Hays, MS, RDN, LD

  • Registered Dietitian
  • Austin, TX
  • NPI 1962095935

  Dietitian, Registered, TX

  Medicare reassignment NPD Authorized official
• Jennifer R Calderaro, MS, RD, LD

  • Registered Dietitian
  • Austin, TX
  • NPI 1225090988

  Dietitian, Registered, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1417525262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 SUSIE CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787574431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 SUSIE CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787574431",
            "telephone_number": "432-559-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELISH NUTRITION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "432-559-8890",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN",
            "identifier": "DT81265",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "984584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Austin, TX
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.