Organization Active NPI

Healing Nutrition LLC

  • Registered Dietitian
  • Morganton, NC
National Provider Identifier
1609484823
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HEALING NUTRITION LLC
Practice address
3115 River Rd
Morganton, NC 28655-6263
Phone
(828) 413-2970
NPI assigned
Jul 14, 2020
Last updated
Jul 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Mandy Nix, RDNPI 1134749773
Title
Owner
Phone
(828) 413-2970

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 Dietitian 133V00000X NU Primary

Addresses

Primary practice location

3115 River Rd
Morganton, NC 28655-6263

Mailing address

3115 River Rd
Morganton, NC 28655-6263
Phone (828) 413-2970

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL MORGANTON Health Information Exchange (HIE)
CONNECT URL MORGANTON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819003142 NC Part B Supplier - Clinic/Group Practice 6709202864 Receives reassigned benefits from 1 practitioner
Practice locations: Morganton, NC

National Provider Directory

National Provider Directory

Locations

115 Queen St
Morganton, NC 28655
Phone (828) 413-2970

Practitioners & affiliated clinicians

Practitioners 2

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": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1609484823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 RIVER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286556263",
            "telephone_number": "828-413-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 RIVER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286556263",
            "telephone_number": "828-413-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-413-2970",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MORGANTON",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3115 River Rd",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286556263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MORGANTON",
            "affiliation": "N",
            "address_1": "3115 River Rd",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286556263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.