Nourished LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NOURISHED LLC

Practice address

833 Canongate Dr
Flower Mound, TX 75022-8012

Phone

(469) 288-3407

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Benich, RDN, LD

Title

Registered Dietitian

Phone

(469) 288-3407

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675555200000",
    "number": "1659913309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CANONGATE DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750228012",
            "telephone_number": "469-288-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CANONGATE DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750228012",
            "telephone_number": "469-288-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A",
        "authorized_official_last_name": "BENICH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "469-288-3407",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2023; 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.