NPIMap

Organization Active NPI

Ilivewell Nutrition Therapy, LLC

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1821426602
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86047572 Issued in TX
Legal business name
ILIVEWELL NUTRITION THERAPY, LLC
Practice address
2001 Parker LN Apt 106
Austin, TX 78741-3844
Phone
(512) 789-8400
NPI assigned
Oct 14, 2013
Last updated
Oct 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Laura Krebs-Holm, RDNPI 1659836245
Title
Dietitian
Phone
(512) 789-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86047572 TX Primary

Addresses

Primary practice location

2001 Parker LN Apt 106
Austin, TX 78741-3844

Mailing address

2001 Parker LN Apt 106
Austin, TX 78741-3844
Phone (512) 789-8400

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": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1821426602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PARKER LN APT 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413844",
            "telephone_number": "512-789-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PARKER LN APT 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413844",
            "telephone_number": "512-789-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILIVEWELL NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "KREBS-HOLM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "512-789-8400",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86047572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.