NPIMap

Organization Active NPI

Healthy Lifestyle Solutions, LLC

  • Registered Dietitian
  • Clarksville, IN
National Provider Identifier
1962162768
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HEALTHY LIFESTYLE SOLUTIONS, LLC
Practice address
1400 Main St Unit 194
Clarksville, IN 47129-3121
Phone
(502) 792-7066
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Michelle Smith, RD, LD, CDCESNPI 1083944664
Title
President
Phone
(502) 792-7066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1400 Main St Unit 194
Clarksville, IN 47129-3121

Mailing address

1400 Main St Unit 194
Clarksville, IN 47129-3121
Phone (502) 792-7066

National Provider Directory

National Provider Directory

Locations

1400 Main St
Unit 194
Clarksville, IN 47129
Phone (502) 792-7066

1400 Main St
Unit 191
Clarksville, IN 47129
Phone (502) 792-7066

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1962162768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST UNIT 194",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471293121",
            "telephone_number": "502-792-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST UNIT 194",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471293121",
            "telephone_number": "502-792-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFESTYLE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-792-7066",
        "authorized_official_credential": "RD, LD, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.