Healthy Green Nutrition, Llc

LBN: Healthy Green Nutrition, Llc
Healthy Green Nutrition, Llc is an health care organization with primary practice located at 9415 E Harry St Ste 407 , Wichita KS 67207-5083. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. Healthy Green Nutrition, Llc can be contacted via phone (316) 253-2604, or through Greenleaf-Kisner, Valarie Diane via phone (316) 253-2604.

Contact Information

Primary practice address
9415 E Harry St Ste 407 Wichita KS 67207-5083
Phone: (316) 253-2604
Fax: (316) 634-3789
Website:
Map and Directions
Authorized official contact:
Name: Greenleaf-Kisner, Valarie Diane MS, RDN, LD, CDCES
Phone: (316) 253-2604

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 20220205 Kansas
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 717684 Kansas

Profile Details

NPI number 1568839868
LBN Legal business name Healthy Green Nutrition, Llc
DBA Doing business as Healthy Green Nutrition, Llc
Authorized official Greenleaf-Kisner, Valarie Diane MS, RDN, LD, CDCES
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2015
Last updated Sep 20th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568839868 NPPES
Kansas MEDICAID 100210590A

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