Active NPI
New Life Nutrition
- Registered Dietitian
- Boardman, OH
National Provider Identifier
1881825610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2178
- Legal business name
- NEW LIFE NUTRITION
- Practice address
- 888 Boardman Canfield Rd
Suite I.
Boardman, OH 44512-4276 - Phone
- (330) 726-2440
- Fax
- (330) 726-6844
- NPI assigned
- Jul 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly Ann Hofsess, M.S.R.D.L.D.
- Title
- Officer
- Phone
- (330) 726-2440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2178 | OH | Primary |
Addresses
Primary practice location
888 Boardman Canfield Rd
Suite I.
Boardman, OH 44512-4276
Mailing address
888 Boardman Canfield Rd
Suite I.
Boardman, OH 44512-4276
Phone (330) 726-2440
National Provider Directory
National Provider DirectoryLocations
888 Boardman Canfield Rd
Ste I
Boardman, OH 44512
Phone (330) 726-2440
16223 E Liverpool Rd
East Liverpool, OH 43920
Phone (330) 385-1309
210 E State St
Salem, OH 44460
Phone (330) 726-2440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248739200000",
"number": "1881825610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 BOARDMAN CANFIELD RD",
"address_2": "SUITE I.",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124276",
"telephone_number": "330-726-2440",
"fax_number": "330-726-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 BOARDMAN CANFIELD RD",
"address_2": "SUITE I.",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124276",
"telephone_number": "330-726-2440",
"fax_number": "330-726-6844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A",
"authorized_official_last_name": "HOFSESS",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "330-726-2440",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S.R.D.L.D."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "2178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.