NPIMap

Organization Active NPI

LS Nutrition, LLC

  • Registered Dietitian
  • Canfield, OH
National Provider Identifier
1740050269
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LS NUTRITION, LLC
Doing business as
LS Nutrition, LLC
Practice address
8820 S Raccoon Rd
Canfield, OH 44406-8171
Phone
(330) 727-0175
NPI assigned
Jan 5, 2024
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Logan Smith, REGISTERED DIETITIAN
Title
Rd
Phone
(330) 727-0175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

8820 S Raccoon Rd
Canfield, OH 44406-8171

Mailing address

8820 S Raccoon Rd
Canfield, OH 44406-8171
Phone (330) 727-0175

Other names 1

  • LS Nutrition, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1740050269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 S RACCOON RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068171",
            "telephone_number": "330-727-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 S RACCOON RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068171",
            "telephone_number": "330-727-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "RD",
        "authorized_official_telephone_number": "330-727-0175",
        "authorized_official_credential": "REGISTERED DIETITIAN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LS Nutrition, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.