Nutra, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

17126991 Issued in MO

Legal business name

NUTRA, LLC

Practice address

14805 Clayton Rd
Chesterfield, MO 63017-7881

Phone

(636) 386-3333

Fax

(636) 527-2570

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Hugh J St. Onge

Title

Owner

Phone

(314) 482-0732

Specialties & licenses 1

Addresses

Other names 1

• Nutrition Clinic Doing business as

Locations

Practitioners 1

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

• Josephine Yickfong Lee, DC

  • Nutrition Chiropractor
  • Chesterfield, MO
  • NPI 1710162037
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1982854121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 CLAYTON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177881",
            "telephone_number": "636-386-3333",
            "fax_number": "636-527-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 CLAYTON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177881",
            "telephone_number": "636-386-3333",
            "fax_number": "636-527-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "ST.  ONGE",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-482-0732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "17126991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Goodluck Ikechukwu Nshi
• Nu-Crown, LLC
• Mara K Numi
• Whitney Lyn Nunn, SA-C
• Keith Hunter Nunnelee, M.D.
• Tarisai Sharon Nyahoda, MD
• Elizabeth Susan O Brien, MD
• Crystal O'Brien
• O'Fallon Physical Therapy and Rehabilitation
• Sarah O'Leary, DNP

• Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.