Live Well Nutrition, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37001744A Issued in IN

Legal business name

LIVE WELL NUTRITION, INC.

Practice address

229 E Omer Ave
Mishawaka, IN 46545-6345

Phone

(574) 217-8372

NPI assigned

Jul 30, 2014

Last updated

Jul 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nikole Barrett, RDN, CDNPI 1114129046

Title

President

Phone

(574) 217-8372

Specialties & licenses 2

Addresses

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.

• Nikole Suzanne Barrett, R.D.N., C.D.

  • Registered Dietitian
  • Mishawaka, IN
  • NPI 1114129046

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1629486964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E OMER AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456345",
            "telephone_number": "574-217-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E OMER AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456345",
            "telephone_number": "574-217-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL NUTRITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "NIKOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-217-8372",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001744A",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IN",
            "license": "37001744A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla J Lingle, PT
• Russell Matthew Linman, DDS, MD
• Henry Linville
• Katherine Lisoni, MD
• Thomas Robert Litwicki Jr., BCBA
• Carolyn Logue, BS
• Kathleen Long, MD
• Kathleen A Long, APRN-BC, ND
• Kyla Long
• Beth Ann Longbrake

• Registered Dietitian in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.