Circle of Life Nutrition LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

L002793 Issued in NC

Legal business name

CIRCLE OF LIFE NUTRITION LLC

Practice address

1410 Stonecroft CT
Winston Salem, NC 27103-6095

Phone

(336) 420-9567

NPI assigned

Aug 12, 2013

Last updated

Dec 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Elizabeth Ahmed, RD, LDNNPI 1306027727

Title

Nutritionist

Phone

(336) 420-9567

Specialties & licenses 1

Addresses

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.

• Jennifer Elizabeth Ahmed, MS, RD, CNSC

  • Registered Dietitian
  • Ashburn, VA
  • NPI 1306027727
  Authorized official Same address or phone

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1841623097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 STONECROFT CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036095",
            "telephone_number": "336-420-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 STONECROFT CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036095",
            "telephone_number": "336-420-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NUTRITIONIST",
        "authorized_official_telephone_number": "336-420-9567",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L002793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann Cicci, PHARMD
• Nicole Isabel Cillis, DO
• Sarah Nicole Cilvik, MD,PHD
• Grace Lillian Ciminnisi
• Margaret Anne Cinderella, M.D.
• Kathryn Glenn Ciser, M.D.
• Citadel at Winston Salem LLC (Willow Valley Center for Nursing and Rehabilitation)
• City Medical Supply
• Jordyn Clagett
• Michael Forrest Clamp, M.D.

• Nutritionist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Nutritionist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.