Organization Active NPI

Fuel. Nutrition Conulting

  • Specialist
  • Tallahassee, FL
National Provider Identifier
1962806414
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ND4473 Issued in FL
Legal business name
FUEL. NUTRITION CONULTING
Practice address
1114 Thomasville Rd Ste G
Tallahassee, FL 32303-6273
Phone
(850) 694-3322
Fax
(850) 298-1131
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Shannon Lori Moore, R.D.NPI 1659713071
Title
Owner/Operator
Phone
(850) 694-3322

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ND4473 FL Primary

Addresses

Primary practice location

1114 Thomasville Rd Ste G
Tallahassee, FL 32303-6273

Mailing address

1114 Thomasville Rd Ste G
Tallahassee, FL 32303-6273
Phone (850) 694-3322

National Provider Directory

National Provider Directory

Locations

1114 Thomasville Rd
Ste G
Tallahassee, FL 32303
Phone (850) 694-3322

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": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1962806414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 THOMASVILLE RD STE G",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036273",
            "telephone_number": "850-694-3322",
            "fax_number": "850-298-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 THOMASVILLE RD STE G",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036273",
            "telephone_number": "850-694-3322",
            "fax_number": "850-298-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUEL. NUTRITION CONULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LORI",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "850-694-3322",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ND4473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.