Organization Active NPI

Flourish Functional Nutrition, LLC

  • Registered Dietitian
  • Murrieta, CA
National Provider Identifier
1619842499
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FLOURISH FUNCTIONAL NUTRITION, LLC
Practice address
38421 Members Club Dr
Murrieta, CA 92563-5862
Phone
(951) 578-4025
NPI assigned
Oct 9, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Agata Sliwak, RDNPI 1417611336
Title
Co-Owner
Phone
(951) 578-4025

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

38421 Members Club Dr
Murrieta, CA 92563-5862

Mailing address

29910 Murrieta Hot Springs Rd # 421
Murrieta, CA 92563-3814
Phone (951) 578-4025

National Provider Directory

National Provider Directory

Locations

29910 Murrieta Hot Springs Rd
#421
Murrieta, CA 92563

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": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1619842499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29910 MURRIETA HOT SPRINGS RD # 421",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633814",
            "telephone_number": "951-578-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38421 MEMBERS CLUB DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635862",
            "telephone_number": "951-578-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH FUNCTIONAL NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "SLIWAK",
        "authorized_official_first_name": "AGATA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "951-578-4025",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

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