Organization Active NPI

Flavorfuel, LLC

  • Health & Wellness Coach
  • Winston Salem, NC
National Provider Identifier
1538950779
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
FLAVORFUEL, LLC
Practice address
4050 Meredith Woods LN
Winston Salem, NC 27107-6975
Phone
(336) 705-4415
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Authorized official

Name
Marchene Thomas
Title
Founder & Ceo
Phone
(336) 705-4415

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

4050 Meredith Woods LN
Winston Salem, NC 27107-6975

Mailing address

4050 Meredith Woods LN
Winston Salem, NC 27107-6975

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747440000000",
    "number": "1538950779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 MEREDITH WOODS LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 MEREDITH WOODS LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076975",
            "telephone_number": "336-705-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAVORFUEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARCHENE",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "336-705-4415"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; 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.