Organization Active NPI

Cultivate Joy Nutrition, LLC

  • Registered Dietitian
  • Celina, OH
National Provider Identifier
1811533672
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CULTIVATE JOY NUTRITION, LLC
Practice address
2031 Eaglebrooke Parkway
Celina, OH 45822-9396
Phone
(317) 914-3049
NPI assigned
Nov 26, 2019
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Mrs. Jill Suzanne Clodfelter-Mason, RDNPI 1093351041
Title
Rd and Owner of Cultivate Joy Nutri
Phone
(317) 914-3049

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
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

2031 Eaglebrooke Parkway
Celina, OH 45822-9396

Mailing address

2031 Eaglebrooke Parkway
Celina, OH 45822-9396
Phone (317) 914-3049

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, 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": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1811533672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 EAGLEBROOKE PARKWAY",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458229396",
            "telephone_number": "317-914-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 EAGLEBROOKE PARKWAY",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458229396",
            "telephone_number": "317-914-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE JOY NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "CLODFELTER-MASON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "RD AND OWNER OF CULTIVATE JOY NUTRI",
        "authorized_official_telephone_number": "317-914-3049",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.