Active NPI
Positively Nourished LLC
- Registered Dietitian
- Twin Falls, ID
National Provider Identifier
1568252856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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, 2025
- 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
- Stephanie Nicole Pugh, RD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528778933 | Other | ID | INDIVIDUAL NPI FOR STEPHANIE PUGH, OWNER |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nutritionist
- Twin Falls, ID
- NPI 1528778933
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.