Active NPI
Nourish, Inc.
- Registered Dietitian
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NOURISH, INC.
- Practice address
- 3724 Jefferson St Ste 104
Austin, TX 78731-6204 - Phone
- (512) 693-7045
- NPI assigned
- Jul 28, 2022
- Last updated
- Jul 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Samuel Perkins
- Title
- Chief Operations Officer
- Phone
- (214) 907-5629
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3724 Jefferson St Ste 104
Austin, TX 78731-6204
Mailing address
254 W 18TH St Apt 2
New York, NY 10011-4526
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SimplePractice.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations (25 of 49)
911 W 8th Ave
Anchorage, AK 99501
730 E Brown Rd
Ste 114
Mesa, AZ 85203
Phone (602) 668-5696
4600 E Washington St
Ste 30
Phoenix, AZ 85034
4600 E Washington Blvd
Ste 300
Commerce, CA 90040
515 S Flower St
Los Angeles, CA 90071
Phone (619) 613-2791
515 S Flower St
#10154
Los Angeles, CA 90071
515 S Flower St
#18
Los Angeles, CA 90071
515 S Flower St
Ste 1015
Los Angeles, CA 90071
595 Pacific Ave
Fl 4
San Francisco, CA 94133
Phone (855) 970-3223
250 Fillmore St
Denver, CO 80206
Phone (410) 505-0521
3000 Lawrence St
Denver, CO 80205
Phone (303) 418-4423
52 Monroe St
Denver, CO 80206
Phone (303) 393-1726
720 S Colorado Blvd
#162
Glendale, CO 80246
20 F St NW
#7
Washington, DC 20001
8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348
120 S Riverside Plz
Ste 2190
Chicago, IL 60606
Phone (312) 899-0040
1632 E 23rd Ave
Fl 1
Hutchinson, KS 67502
Phone (516) 506-1715
3499 Blazer Pkwy
Ste 333
Lexington, KY 40509
100 Cambridge St
#4
Boston, MA 02114
100 Cambridge St
Fl 4
Boston, MA 02114
100 Cambridge St
Ste 14
Boston, MA 02114
Phone (617) 917-2389
578 Main St
Ste B8
Malden, MA 02148
400 E Pratt St
Fl 8
Baltimore, MD 21202
Phone (410) 505-0521
1250 Moore Lake Dr E
Ste 215D
Fridley, MN 55432
1340 Environ Way
Chapel Hill, NC 27517
Phone (201) 993-8609
Practitioners & affiliated clinicians
Practitioners 4,920
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.
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Dietitian, Registered
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- Registered Dietitian
- San Antonio, TX
- NPI 1144594060
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658966400000",
"number": "1558097824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 W 18TH ST APT 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316204",
"telephone_number": "512-693-7045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOURISH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-28",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "SAMUEL",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "214-907-5629",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "SimplePractice.com",
"affiliation": "N",
"endpointDescription": "SimplePractice EHR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "SimplePractice.com",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "SimplePractice",
"address_1": "3724 Jefferson St Ste 104",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787316204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Austin, TX
- Natalia Norzagaray, LMSW
- Richard McKinley Noster, M.D.
- Ashley Wietz Nottebart, PMHNP-BC
- Nourish Counseling, LLC
- Nourish Well LLC
- Nourish. an Integrative Medical Practice, PLLC
- Nourished Roots LLC (The Nurturing Willow)
- Nova Health Systems Inc (Reproductive Services of Austin Texas)
- Nova Strand Diagnostics
- Novabridge Medical LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.