Nulife Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NULIFE NUTRITION

Practice address

1852 Lockhill Selma Rd Ste 106
San Antonio, TX 78213-1500

Phone

(830) 660-7037

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Danielle Bourgeois, RDN, CEDRD, LDNPI 1689135311

Title

Lead Dietitian/Owner

Phone

(830) 660-7037

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.

• Danielle Bourgeois, RDN, CEDRD, LD

  • Registered Dietitian
  • San Antonio, TX
  • NPI 1689135311

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1932762630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 LOOP 337",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 LOCKHILL SELMA RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131500",
            "telephone_number": "830-660-7037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Loop 337",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781303521",
            "country_code": "US",
            "telephone_number": "830-660-7037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 W San Antonio St",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781307936",
            "country_code": "US",
            "telephone_number": "830-660-7037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NULIFE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "LEAD DIETITIAN/OWNER",
        "authorized_official_telephone_number": "830-660-7037",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, CEDRD, LD"
    },
    "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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• Mahmoud Jafar Mahmoud Numan, MD
• Joanna Nuncio
• Phillip Nuncio
• Nune LLC
• Olliver Nunez Cantu, M.D.

• Registered Dietitian in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.