Provider Demographics
NPI:1720849656
Name:MORE SPOONS LLC
Entity type:Organization
Organization Name:MORE SPOONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, PA-C
Authorized Official - Phone:575-201-3344
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:NM
Mailing Address - Zip Code:87942-0212
Mailing Address - Country:US
Mailing Address - Phone:575-201-3344
Mailing Address - Fax:
Practice Address - Street 1:712 OLIVO ST.
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:NM
Practice Address - Zip Code:87942
Practice Address - Country:US
Practice Address - Phone:575-201-3344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty