Organization Active NPI

Positively Nourished LLC

  • Registered Dietitian
  • Twin Falls, ID
National Provider Identifier
1568252856
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
POSITIVELY NOURISHED LLC
Practice address
1153 Terra Ave
Twin Falls, ID 83301-4734
Phone
(208) 607-5864
NPI assigned
May 9, 2025
Last updated
May 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Stephanie Nicole Pugh, RDNPI 1528778933
Title
Owner, Registered Dietitian
Phone
(208) 607-5864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1153 Terra Ave
Twin Falls, ID 83301-4734

Mailing address

1153 Terra Ave
Twin Falls, ID 83301-4734
Phone (208) 607-5864

Other identifiers 1

IdentifierTypeStateIssuer
1528778933OtherIDINDIVIDUAL NPI FOR STEPHANIE PUGH, OWNER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1568252856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 TERRA AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014734",
            "telephone_number": "208-607-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 TERRA AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014734",
            "telephone_number": "208-607-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVELY NOURISHED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "208-607-5864",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR STEPHANIE PUGH, OWNER",
            "identifier": "1528778933",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.