Soul of Nutrition and Fitness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUL OF NUTRITION AND FITNESS LLC

Practice address

34224 Gadwall CMN
Fremont, CA 94555-3001

Phone

(510) 557-2727

NPI assigned

Sep 21, 2024

Organization subpart

No

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

Authorized official

Name

Makayla Davis, MS, CNS, LDN, CNNPI 1518666585

Title

Owner/Clinical Nutritionist

Phone

(510) 557-2727

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Makayla Davis

  • Nutrition Education Nutritionist
  • Fremont, CA
  • NPI 1518666585
  NPD Authorized official

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1922825934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35111F NEWARK BLVD UNIT 487",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34224 GADWALL CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553001",
            "telephone_number": "510-557-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL OF NUTRITION AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MAKAYLA",
        "authorized_official_title_or_position": "OWNER/CLINICAL NUTRITIONIST",
        "authorized_official_telephone_number": "510-557-2727",
        "authorized_official_credential": "MS, CNS, LDN, CN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Madayag Soria
• Subada Soti, MD
• Angie Soto
• Monica B Soto
• Serena Maribel Soto
• Amie Sousa
• South Bay Dental Practice
• South East Bay Pediatric Med Group
• Larisa Southerland, AMFT
• Robert Sentell Spears, M.D.

• Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.