Provider Demographics
NPI:1427773860
Name:NUTRITION BY NATALIE, LLC
Entity type:Organization
Organization Name:NUTRITION BY NATALIE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD
Authorized Official - Phone:512-826-3663
Mailing Address - Street 1:4 RED BUD TRL
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-9725
Mailing Address - Country:US
Mailing Address - Phone:512-826-3663
Mailing Address - Fax:
Practice Address - Street 1:4 RED BUD TRL
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-9725
Practice Address - Country:US
Practice Address - Phone:512-826-3663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty