Whole Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

WHOLE NUTRITION, LLC

Practice address

1457 Spruce Drive
Smyra, GA 30080

Phone

(770) 324-8492

NPI assigned

Jun 9, 2020

Last updated

May 28, 2021By 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

Amanda Elizabeth McCloskey, MS, RD, LDNPI 1083259683

Title

Registered Dietitian

Phone

(770) 324-8492

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.

• Amanda Elizabeth McCloskey, RD,MS, LD

  • Registered Dietitian
  • Smyrna, GA
  • NPI 1083259683

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1568087245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 SPRUCE DRIVE",
            "city": "SMYRA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-324-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 SPRUCE DRIVE",
            "city": "SMYRA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-324-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "MCCLOSKEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "770-324-8492",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.