Spring Dawn Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SPRING DAWN NUTRITION, LLC

Practice address

828 W 4350 S
Riverdale, UT 84405-3426

Phone

(385) 244-9573

Fax

(385) 240-6209

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Janae Kinikin, RDN

Title

Owner

Phone

(385) 244-9573

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1700480803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 W 4350 S",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844053426",
            "telephone_number": "385-244-9573",
            "fax_number": "385-240-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 W 4350 S",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844053426",
            "telephone_number": "385-244-9573",
            "fax_number": "385-240-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING DAWN NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "KINIKIN",
        "authorized_official_first_name": "JANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-244-9573",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1881248698",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Breanna Stewart
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• Registered Dietitian in Riverdale, UT
• Providers in Riverdale, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.