Organization Active NPI

Simple Spoon Nutrition, LLC

  • Registered Dietitian
  • Lufkin, TX
National Provider Identifier
1881465847
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SIMPLE SPOON NUTRITION, LLC
Practice address
2110 S John Redditt Dr Ste C
Lufkin, TX 75904-5482
Phone
(936) 676-7614
Fax
(877) 428-1617
NPI assigned
Jan 9, 2024
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Emma Barrett, MS, RDN, LD, CDCESNPI 1558873141
Title
Owner/ Registered Dietitian
Phone
(936) 676-7614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

2110 S John Redditt Dr Ste C
Lufkin, TX 75904-5482

Mailing address

2110 S John Redditt Dr Ste C
Lufkin, TX 75904-5482
Phone (936) 676-7614

Other names 1

  • Simple Spoon Nutrition, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240513002227 TX Part B Supplier - Clinic/Group Practice 1658712369 Receives reassigned benefits from 1 practitioner
Practice locations: Lufkin, TX

National Provider Directory

National Provider Directory

Locations

2110 S John Redditt Dr
Ste C
Lufkin, TX 75904
Phone (936) 676-7614

515 S 1st St
Ste O
Lufkin, TX 75901

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1881465847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 S JOHN REDDITT DR STE C",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045482",
            "telephone_number": "936-676-7614",
            "fax_number": "877-428-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 S JOHN REDDITT DR STE C",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045482",
            "telephone_number": "936-676-7614",
            "fax_number": "877-428-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE SPOON NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OWNER/ REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "936-676-7614",
        "authorized_official_credential": "MS, RDN, LD, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simple Spoon Nutrition, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Simple Spoon Nutrition, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.