2 Your Health LLC

Key facts

NPI

1841672292

Entity type

Organization (NPI type 2)

Primary specialty

Registered Dietitian 133V00000X

License

L004066 (NC)

Legal business name

2 YOUR HEALTH LLC

Practice address

336 Lenoir Rhyne Blvd SE
Suite 15
Hickory, NC 28602-3878

Phone

(704) 905-4037

NPI assigned

Jun 22, 2015

Organization subpart

No

Authorized official

Name

Carla Spencer

Title

Member Manager

Phone

(704) 905-4037

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 11, 2015.

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1841672292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 LENOIR RHYNE BLVD SE",
            "address_2": "SUITE 15",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023878",
            "telephone_number": "704-905-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 LENOIR RHYNE BLVD SE",
            "address_2": "SUITE 15",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023878",
            "telephone_number": "704-905-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2 YOUR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "704-905-4037"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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