Be Bold Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

875997 Issued in IL

Legal business name

BE BOLD NUTRITION, LLC

Practice address

2021 Richard Jones Rd Ste 350B
Nashville, TN 37215

Phone

(615) 988-4255

Fax

(888) 972-1886

NPI assigned

Dec 20, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Susan Welch, RDN, LDN

Title

Founder/Owner

Phone

(615) 988-4255

Specialties & licenses 2

Addresses

Other names 1

• Nutrition of Nashville Doing business as

Locations

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561766400000",
    "number": "1639685183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 RICHARD JONES RD STE 350B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152871",
            "telephone_number": "615-988-4255",
            "fax_number": "888-972-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 RICHARD JONES RD STE 350B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37215",
            "telephone_number": "615-988-4255",
            "fax_number": "888-972-1886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4235 Hillsboro Pike Ste 300",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372153344",
            "country_code": "US",
            "telephone_number": "615-988-4255",
            "fax_number": "888-972-1886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4235 Hillsboro Pike Ste 300",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372153344",
            "country_code": "US",
            "telephone_number": "615-988-4255",
            "fax_number": "888-972-1886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BE BOLD NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2019-06-29",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "615-988-4255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "TN",
            "license": "1035",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "875997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition of Nashville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Nashville, TN
• Providers in Nashville, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.