Nutriment Group, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

711675 Issued in SC

Legal business name

NUTRIMENT GROUP, LLC

Practice address

3310 Forest Dr
Columbia, SC 29204-4024

Phone

(803) 782-0400

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Larry J Heisler

Title

Owner

Phone

(803) 782-0400

Specialties & licenses 1

Addresses

Other names 1

• Health Coach Doing business as

Locations

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1447530829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044024",
            "telephone_number": "803-782-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "HEISLER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-782-0400"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "711675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Coach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Columbia, SC
• Providers in Columbia, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.