Practical Nutrition Therapy LLPC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PRACTICAL NUTRITION THERAPY LLPC

Practice address

2311 Lovitt Dr
Memphis, TN 38119-7228

Phone

(662) 213-7305

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Austin Kirk, MS, RD

Title

Director

Phone

(662) 213-7305

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1851963672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 LOVITT DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197228",
            "telephone_number": "662-213-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LOVITT DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197228",
            "telephone_number": "662-213-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL NUTRITION THERAPY LLPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-213-7305",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cian Powers
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• Payton Powers, MA CCC-SLP
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• Registered Dietitian in Memphis, TN
• Providers in Memphis, TN by specialty
• Registered Dietitian in Tennessee

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