Provider Demographics
NPI:1437420478
Name:AUSTIN NUTRITION CONSULTANTS
Entity Type:Organization
Organization Name:AUSTIN NUTRITION CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:RD,LD
Authorized Official - Phone:512-423-7166
Mailing Address - Street 1:4127 HONEYCOMB ROCK CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-2015
Mailing Address - Country:US
Mailing Address - Phone:512-345-2285
Mailing Address - Fax:
Practice Address - Street 1:4127 HONEYCOMB ROCK CIR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-2015
Practice Address - Country:US
Practice Address - Phone:512-345-2285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT02354133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty