Nutrisense Nutrition Consulting, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

506 Issued in WV

Legal business name

NUTRISENSE NUTRITION CONSULTING, LLC

Practice address

18 Meadow Lane
Scott Depot, WV 25560

Phone

(606) 615-2585

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Kellie Marie Blake, RDN, LD

Title

Owner - Registered Dietitian Nutrio

Phone

(606) 615-2585

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1891297248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MEADOW LANE",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "25560",
            "telephone_number": "606-615-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MEADOW LANE",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "25560",
            "telephone_number": "606-615-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRISENSE NUTRITION CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER - REGISTERED DIETITIAN NUTRIO",
        "authorized_official_telephone_number": "606-615-2585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "506",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "124633",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "6849",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "899921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan A Nash, MD
• Hailey Nelson
• Timothy Robert Nichols, PSYCHOLOGIST MS
• Ciara Noe
• James Nottingham, FNP-C
• Paris Oates
• Josalyne Kayla Osborne
• Lela Owusu, MSW
• Kemberly Pasley
• Donna J Patrick, PT

• Registered Dietitian in Scott Depot, WV
• Providers in Scott Depot, WV by specialty
• Registered Dietitian in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.