Nutrition Ignition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION IGNITION LLC

Practice address

1890 S 14TH St
Fernandina, FL 32034-4740

Phone

(904) 891-9104

NPI assigned

May 24, 2022

Last updated

May 24, 2022By 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

Ashley E Sobolewski, NDNPI 1841727070

Title

Owner

Phone

(904) 891-9104

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Ashley Elizabeth Sobolewski, ND

  • Registered Dietitian
  • Jacksonville, FL
  • NPI 1841727070
  Authorized official Same address or phone
• Amber Popovitz-Gale, PSY.D.

  • Clinical Psychologist
  • Orlando, FL
  • NPI 1881142644
  NPD
• Denise Dutchak-Parmenter, M.D.

  • Child & Adolescent Psychiatry Physician
  • Fort Myers, FL
  • NPI 1518024348
  NPD (past)

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1851039333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3072 VISTA WOOD DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322262066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S 14TH ST",
            "city": "FERNANDINA",
            "state": "FL",
            "postal_code": "320344740",
            "telephone_number": "904-891-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION IGNITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "SOBOLEWSKI",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-891-9104",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Lentz Herron, O.D.
• James F Jones Jr., AP
• Latoya Tunise Kuester, M.D.
• Brenda L Lee
• Shauna McNabb
• Jeffrey Elliot Packer, M.D.
• Professional Dental Alliance of Fernandina Beach, PLLC
• Tia Briana Raysor, PHARMD
• Russell Stackhouse MD PA (Coastal Vision Center)
• Robert Harvey Springer III, P.T.A.

• Registered Dietitian in Fernandina, FL
• Providers in Fernandina, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.