Restorative Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RESTORATIVE NUTRITION LLC

Practice address

213 W Mason St
Odessa, MO 64076-1262

Phone

(816) 263-2553

NPI assigned

Mar 29, 2023

Last updated

Jan 7, 2024By 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

Kristy Elaine Neville, RDN,LDNNPI 1083326805

Title

Owner

Phone

(816) 263-2553

Specialties & licenses 2

Addresses

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.

• Kristy Elaine Neville, RDN.LD

  • Registered Dietitian
  • Odessa, MO
  • NPI 1083326805

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704585600000",
    "number": "1477257939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W KIRKPATRICK ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761631",
            "telephone_number": "816-263-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W MASON ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761262",
            "telephone_number": "816-263-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-263-2553",
        "authorized_official_credential": "RDN,LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Parrish, COTA
• Linda Lou Proctor, R.N.
• Kayla Jo Rains, LCSW
• Judith L. Raugewitz, COTA/L
• Richard K Raugewitz, P.T.
• Amy Jeffries Riddell, PLPC
• Bonnie J Rivers, MS
• Amanda Rouillard
• Shannon Ryan-Leap, LPC
• Sean David Sargent, PSY.D.

• Registered Dietitian in Odessa, MO
• Providers in Odessa, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.