Active NPI
Queen City Enterprises
- Nutrition Education Nutritionist
- Augusta, GA
National Provider Identifier
1679386809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Legal business name
- QUEEN CITY ENTERPRISES
- Practice address
- 823 Broad St
Augusta, GA 30901-1214 - Phone
- (951) 553-3051
- NPI assigned
- Jan 30, 2025
- Organization subpart
- Yes
- Parent organization
- QUEEN CITY ENTERPRISES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aset August, CERTIFIED
- Title
- Holistic Nutritionist Counselor
- Phone
- (951) 553-3051
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | Primary | ||
| Health & Wellness Coach | 171400000X | |||
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Delivered Meals | 332U00000X |
Addresses
Primary practice location
823 Broad St
Augusta, GA 30901-1214
Mailing address
6163 Vermilion Loop
Graniteville, SC 29829-3261
Phone (951) 553-3051
Other names 1
- Religion Of Health
National Provider Directory
National Provider Directory- Part of
- Queen City Enterprises
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutrition Education Nutritionist
- Augusta, GA
- NPI 1194540658
Nutrition, Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1679386809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6163 VERMILION LOOP",
"city": "GRANITEVILLE",
"state": "SC",
"postal_code": "298293261",
"telephone_number": "951-553-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 BROAD ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309011214",
"telephone_number": "951-553-3051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEEN CITY ENTERPRISES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEEN CITY ENTERPRISES",
"enumeration_date": "2025-01-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "AUGUST",
"authorized_official_first_name": "ASET",
"authorized_official_title_or_position": "HOLISTIC NUTRITIONIST COUNSELOR",
"authorized_official_telephone_number": "951-553-3051",
"authorized_official_credential": "CERTIFIED"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Religion Of Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.