Organization Active NPI

Simply Nourished LLC

  • Registered Dietitian
  • Springfield, MO
National Provider Identifier
1598438863
Registry record updated Jul 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SIMPLY NOURISHED LLC
Practice address
3252 S Meadowlark Ave
Springfield, MO 65807-8719
Phone
(417) 379-4001
NPI assigned
Jul 31, 2021
Last updated
Jul 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2021

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

Authorized official

Name
Lindsey Allison McClafferty, RD, LD, CDCESNPI 1144877556
Title
Dietitian
Phone
(417) 379-4001

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary
Pediatric Nutrition Registered Dietitian 133VN1004X NU
Renal Nutrition Registered Dietitian 133VN1005X NU
Metabolic Nutrition Registered Dietitian 133VN1006X NU
Gerontological Nutrition Registered Dietitian 133VN1101X NU
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X NU
Oncology Nutrition Registered Dietitian 133VN1301X NU
Sports Dietetics Nutrition Registered Dietitian 133VN1501X NU

Addresses

Primary practice location

3252 S Meadowlark Ave
Springfield, MO 65807-8719

Mailing address

3252 S Meadowlark Ave
Springfield, MO 65807-8719
Phone (417) 379-4001

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": "1627689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627689600000",
    "number": "1598438863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 S MEADOWLARK AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078719",
            "telephone_number": "417-379-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 S MEADOWLARK AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078719",
            "telephone_number": "417-379-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY NOURISHED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "MCCLAFFERTY",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "417-379-4001",
        "authorized_official_credential": "RD, LD, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.