Nourished Life, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NOURISHED LIFE, LLC

Practice address

11 Woods LN
Simsbury, CT 06070-2475

Phone

(860) 810-9439

NPI assigned

Feb 20, 2025

Organization subpart

No

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

Authorized official

Name

Jennifer BraunNPI 1962969873

Title

Owner

Phone

(860) 506-6212

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.

• Jennifer Braun, RD

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Bloomfield, CT
  • NPI 1962969873

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1588460596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WOODS LN",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702475",
            "telephone_number": "860-810-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WOODS LN",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702475",
            "telephone_number": "860-810-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-506-6212"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Elizabeth Nevico
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• Keysa Janice Nieves, OTR/L
• Northland Hearing Centers, Inc.
• Kellee Marie O'Melia, OTR/L
• Fawn Sheryl Oldham, PT
• Optometric Specialty Group of Simsbury PLLC
• Stephen Lord Paine, L.AC., OMD
• Jill Elizabeth Palmer, LCSW

• Registered Dietitian in Simsbury, CT
• Providers in Simsbury, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.