Mom'S Valet Dash, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MOM'S VALET DASH, LLC

Doing business as

Miriam Boutte Nutrition

Practice address

12701 Sacred Oak CV
Arlington, TN 38002-5057

Phone

(615) 686-6787

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Miriam Boutte, RDNNPI 1588437784

Title

Owner/Founder

Phone

(615) 686-6787

Specialties & licenses 1

Addresses

Other names 1

• Miriam Boutte Nutrition Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Miriam Boutte, RDN

  • Registered Dietitian
  • Arlington, TN
  • NPI 1588437784

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1811750334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 MADISON AVE # 3052",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042620",
            "telephone_number": "615-686-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 SACRED OAK CV",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380025057",
            "telephone_number": "615-686-6787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Poplar Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193974",
            "country_code": "US",
            "telephone_number": "901-451-8017",
            "fax_number": "855-565-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOM'S VALET DASH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "BOUTTE",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "615-686-6787",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miriam Boutte Nutrition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miriam Boutte Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Arlington, TN
• Providers in Arlington, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.