Personal Nutrition, Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PERSONAL NUTRITION, INC

Practice address

11673 Jollyville Rd Ste 202
Austin, TX 78759-4211

Phone

(512) 745-0868

Fax

(866) 372-0980

NPI assigned

May 14, 2007

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Fisher, RD, LDNPI 1629133145

Title

Registered Dietitian, President

Phone

(512) 745-0868

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Stacy L Fisher, RD, LD

  • Registered Dietitian
  • Dunedin, FL
  • NPI 1629133145

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1740495431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203098",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787203098",
            "telephone_number": "512-745-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594211",
            "telephone_number": "512-745-0868",
            "fax_number": "866-372-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL NUTRITION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, PRESIDENT",
        "authorized_official_telephone_number": "512-745-0868",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Faith Persinger
• Neal Persky
• Person-Centered Psychiatry & Psychotherapy, PLLC
• Amy Claire Person, MS, LPC
• Persona Healthcare
• Perspective Physical Therapy, LLC (Perspective Physical Therapy)
• Lisa Diane Persyn, MD
• Osvaldo Hector Perurena, MD
• Carly Krumnow Peschke, CRNA
• Elijah Pesudas, LMT

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.