Simply Good Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SIMPLY GOOD NUTRITION LLC

Doing business as

Jaclynn Allen RD

Practice address

306 W 3Rd St
Big Spring, TX 79720-2429

Phone

(432) 517-4443

Fax

(877) 540-0101

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

Jaclynn C Allen, MS RDN LD CDCES

Title

Owner/Dietitian

Phone

(432) 517-4443

Specialties & licenses 1

Addresses

Other names 1

• Jaclynn Allen RD Doing business as

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1831773068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2818",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797212818",
            "telephone_number": "432-517-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W 3RD ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202429",
            "telephone_number": "432-517-4443",
            "fax_number": "877-540-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY GOOD NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JACLYNN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "432-517-4443",
        "authorized_official_credential": "MS RDN LD CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaclynn Allen RD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.