Nourish, Inc.
Organization Active NPI Registered Dietitian · Austin, TX
NPI 1558097824 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1558097824
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. David Samuel Perkins
- Title
- Chief Operations Officer
- Phone
- (214) 907-5629
Practitioners 4,919
-
Ruth Merrill Ashley, RD, LD
-
Briana Gattis Baker, MS, RD, LD
-
Sarah Barreiro, RDN LD
-
Anne Louise Bell, M.S., R.D., L.D.
-
Sarah Broekhoven, MS, RDN, LDN
-
Sara Chambers, RD
-
Kenisha Chisholm, MS, RDN, LD
-
Tina Corey, RD
-
Meagan M Dzekunskas, RDN
-
Laura Farrell, RD
-
Hope Ann Good, RDN, LD
-
Kirbey Granzin, RD
-
Dilhari Gunathilaka, RDN
-
Carla Gutke, RDN LD
-
Keyra Hernandez, LD
-
Joyce Huang, RD, CD
-
Mereen Jacob, RDN, LD
-
Katie Krieg, MS, RD, LD
-
Kelsie Kropp, RD
-
Michal A Larson, RD, LDN
-
Julia Rose Michelle Lavallee, MS, RDN
-
Katelyn Ann Leahy, MS, RDN, LDN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230901000471 | TX | Part B Supplier - Clinic/Group Practice | 1557724937 |
Receives reassigned benefits from 472 practitioners Practice locations: Austin, TX |
National Provider Directory
Locations (25 of 48)
2208 University Blvd
Ste 102
Birmingham, AL 35233
Phone (205) 259-6710
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
#1015
Los Angeles, CA 90071
515 S Flower St
#18
Los Angeles, CA 90071
515 S Flower St
#10154
Los Angeles, CA 90071
515 S Flower St
Ste 1015
Los Angeles, CA 90071
250 Fillmore St
Denver, CO 80206
Phone (410) 505-0521
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
120 S Riverside Plz
Ste 2190
Chicago, IL 60606
Phone (312) 899-0040
6732 173rd St
Tinley Park, IL 60477
3499 Blazer Pkwy
Ste 333
Lexington, KY 40509
3499 Blazer Pkwy
Lexington, KY 40509
100 Cambridge St
Ste 14
Boston, MA 02114
Phone (617) 917-2389
100 Cambridge St
Fl 4
Boston, MA 02114
100 Cambridge St
Boston, MA 02114
Phone (603) 600-8513
100 Cambridge St
#4
Boston, MA 02114
578 Main St
Ste B8
Malden, MA 02148
1250 Moore Lake Dr E
Ste 215D
Fridley, MN 55432
13100 Manchester Rd
Ste 175
Saint Louis, MO 63131
Phone (314) 275-0658
1303 S 72nd St
Omaha, NE 68124
1806 State Route 35
Ste 103
Oakhurst, NJ 07755
Phone (732) 643-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SimplePractice.com | Other |
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.