My Nutrition, LLC.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MY NUTRITION, LLC.

Practice address

8570 Country Rd 589
Nevada, TX 75173

Phone

(936) 355-2484

NPI assigned

Nov 24, 2021

Last updated

Nov 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Gardner, RD, LDNPI 1396209425

Title

Registered Dietitian

Phone

(936) 355-2484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Gardner, RD, LD

  • Registered Dietitian
  • Nevada, TX
  • NPI 1396209425

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1447917422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E MAIN ST STE 1094",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751899998",
            "telephone_number": "936-355-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 COUNTRY RD 589",
            "city": "NEVADA",
            "state": "TX",
            "postal_code": "75173",
            "telephone_number": "936-355-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NUTRITION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "936-355-2484",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelbi Danielle Fischer, RN
• Kristina M Gammons, RN, LP
• Jessica Gardner, RD, LD
• Brandi McBride, PT, DPT
• Barri Joe Mulkey II, ATC, LAT
• Nevatex Pharmacy LLC (Nevatex Pharmacy)
• Tiffany Sayles, M.S., B.C.B.A
• Kathryn Ann White, FNP-C
• Leea White, LMT

• Registered Dietitian in Nevada, TX
• Providers in Nevada, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.