STILL I THRIVE FUNCTIONAL NUTRITION LLC
Dietitian, Registered

Address: 3713 Kelton Ave, Los Angeles, CA 90034-7119

STILL I THRIVE FUNCTIONAL NUTRITION LLC (NPI# 1760016737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760016737
Entity Type Organization
Organization Name STILL I THRIVE FUNCTIONAL NUTRITION LLC
Practice Address 3713 Kelton Ave
Los Angeles
CA 90034-7119
Practice Telephone 7815894127
Mailing Address 10866 Washington Blvd # 175
Culver City
CA 90232-3610
Certification Date 2020-04-06
Enumeration Date 2020-02-27
Last Update Date 2020-04-06
Authorized Official Telephone 7815894127
Authorized Official Credential MS, RD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 193400000X SINGLE SPECIALTY GROUP Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1447896444 Other

Office Location

Street Address 3713 KELTON AVE
City LOS ANGELES
State CA
Zip Code 90034-7119

Providers in the same city

NPI Name Taxonomy Address Enumeration
1386232882 Paige Snyder Nutritionist 3842 Lomitas Dr, Los Angeles, CA 90032-1422 2021-01-10
1326636853 Mark B Gallo Jr. Marriage & Family Therapist 1434 S Crescent Heights Blvd, Los Angeles, CA 90035-3857 2021-01-10
1124616875 Nadia Aquino Social Worker · Clinical 1204 W Slauson Ave, Los Angeles, CA 90044-2822 2021-01-08
1164010807 Rebecca David Physician Assistant 2932 Nicada Dr, Los Angeles, CA 90077-2026 2021-01-07
1316535040 Iris Y Paz Behavior Technician 8016 S Western Ave, Los Angeles, CA 90047-2718 2021-01-07
1568050268 Sean Higgs Specialist/Technologist · Athletic Trainer 1700 Stadium Way, Los Angeles, CA 90012-1404 2021-01-07
1790373470 Caroline Emily Marzwell Marriage & Family Therapist 11502 Missouri Ave, Los Angeles, CA 90025-5412 2021-01-07
1154919124 Ligans Dental Corporation Clinic/Center · Dental 6801 Park Ter Ste 330, Los Angeles, CA 90045-9212 2021-01-06
1356939136 Shirin Yezdi Bahadurji Dentist 888 Hilgard Ave Apt 110, Los Angeles, CA 90024-3184 2021-01-06
1619565496 Marielle Skouras Marriage & Family Therapist 6250 Hollywood Blvd Unit 8i, Los Angeles, CA 90028-5335 2021-01-06
Find all providers in LOS ANGELES

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508454968 Jayme E Filippini 460 Mt Wash Dr, Los Angeles, CA 90065-3128 2020-12-31
1437745403 Brooke Ellis 4248 Trent Way, Los Angeles, CA 90065-5112 2020-12-14
1144827510 Chelsea Fujitaki 3547 S Barrington Ave, Los Angeles, CA 90066-2829 2020-10-08
1588275846 Diana Davila 4627 1/2 Strang Ave, Los Angeles, CA 90022-1872 2020-08-11
1144846585 Tiffany Yuan 2605 Severance St Apt 303, Los Angeles, CA 90007-2535 2020-06-22
1497379499 Mariah Haroon 2810 S Sepulveda Blvd Apt 301, Los Angeles, CA 90064-3900 2020-06-04
1144841362 Elizabeth Anne Mckee · Beth Anne Mckee 1830 Taft Ave Apt 305, Los Angeles, CA 90028-5795 2020-04-28
1023638772 Marisa Schor 4518 Los Feliz Blvd Apt 3, Los Angeles, CA 90027-2045 2020-04-23
1427683853 Jennifer White Ronald Reagan Medical Center 757 Westwood Plaza B 147, Los Angeles, CA 90095-0001 2020-03-05
1235760372 Thien An Nguyen 857 Crenshaw Blvd Apt 1, Los Angeles, CA 90005-3640 2020-01-28
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.