Well Nourished Nutrition Therapy, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

WELL NOURISHED NUTRITION THERAPY, LLC

Practice address

4586 Cambridge Cir
Shreveport, LA 71107-3534

Phone

(318) 460-0455

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Wilhite, RDN

Title

Manager

Phone

(318) 460-0455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1841945797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4586 CAMBRIDGE CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073534",
            "telephone_number": "318-460-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4586 CAMBRIDGE CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073534",
            "telephone_number": "318-460-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL NOURISHED NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "WILHITE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-460-0455",
        "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": []
}

• Kimberly Welch
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• Taylor Welch
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• Gregory Phillip Wellman, M.D.
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• Registered Dietitian in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.