Nourish Nutrition Co

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NOURISH NUTRITION CO

Practice address

2943 Parkway Blvd
PMB 39
Salt Lake City, UT 84119

Phone

(385) 215-9458

Fax

(385) 259-7761

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Hannah Rebecca Clyde, RDNPI 1932792819

Title

Registered Dietitian

Phone

(385) 215-9458

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Rebecca Clyde, MS, RDN, CD

  • Registered Dietitian
  • Springville, UT
  • NPI 1932792819

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1912726308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 PARKWAY BLVD",
            "address_2": "PMB 39",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "385-215-9458",
            "fax_number": "385-259-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 PARKWAY BLVD",
            "address_2": "PMB 39",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "385-215-9458",
            "fax_number": "385-259-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH NUTRITION CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "CLYDE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "385-215-9458",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexis Elizabeth Nouri, LCSW
• Nova Dental
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• Kali Novak
• Peter J Novak, MD

• Registered Dietitian in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.