NPIMap

Organization Active NPI

Nourish Life

  • Registered Dietitian
  • Kyle, TX
National Provider Identifier
1801639307
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NOURISH LIFE
Practice address
4300 Cromwell Dr Apt 3305
Kyle, TX 78640-6496
Phone
(210) 852-5951
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Tamiris Nascimento, RD
Title
Owner
Phone
(210) 852-5951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4300 Cromwell Dr Apt 3305
Kyle, TX 78640-6496

Mailing address

4300 Cromwell Dr Apt 3305
Kyle, TX 78640-6496
Phone (210) 852-5951

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": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1801639307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CROMWELL DR APT 3305",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406496",
            "telephone_number": "210-852-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 CROMWELL DR APT 3305",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406496",
            "telephone_number": "210-852-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "NASCIMENTO",
        "authorized_official_first_name": "TAMIRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-852-5951",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.