Bay Rivers Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BAY RIVERS NUTRITION, LLC

Practice address

10479 Pine Warbler Dr
Providence Forge, VA 23140-4510

Phone

(804) 347-9964

NPI assigned

May 4, 2024

Last updated

May 4, 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

Ciara Morse, RDNPI 1861243750

Title

Owner

Phone

(804) 347-9964

Specialties & licenses 1

Addresses

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.

• Ciara Morse, RD

  • Registered Dietitian
  • Providence Forge, VA
  • NPI 1861243750

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1528815792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10479 PINE WARBLER DR",
            "city": "PROVIDENCE FORGE",
            "state": "VA",
            "postal_code": "231404510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10479 PINE WARBLER DR",
            "city": "PROVIDENCE FORGE",
            "state": "VA",
            "postal_code": "231404510",
            "telephone_number": "804-347-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIVERS NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "CIARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-347-9964",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Providence Forge, VA
• Providers in Providence Forge, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.