Organization Active NPI

Nutrition Your Way LLC

  • Primary Care Clinic/Center
  • Mooresville, NC
National Provider Identifier
1700660644
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NUTRITION YOUR WAY LLC
Practice address
103 Pickens LN
Mooresville, NC 28115-2989
Phone
(704) 288-7133
NPI assigned
Aug 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Lea HidockNPI 1649868274
Title
Founder
Phone
(704) 288-7133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

103 Pickens LN
Mooresville, NC 28115-2989

Mailing address

103 Pickens LN
Mooresville, NC 28115-2989

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1700660644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PICKENS LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PICKENS LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152989",
            "telephone_number": "704-288-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION YOUR WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "HIDOCK",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "704-288-7133"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.