Provider Demographics
NPI:1023739687
Name:EAT WITH AFFECTION LLC
Entity type:Organization
Organization Name:EAT WITH AFFECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAISHNAB
Authorized Official - Suffix:
Authorized Official - Credentials:RD LD CLS
Authorized Official - Phone:573-864-9534
Mailing Address - Street 1:110 MCDONALD DR UNIT 122
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-3597
Mailing Address - Country:US
Mailing Address - Phone:573-864-9534
Mailing Address - Fax:
Practice Address - Street 1:110 MCDONALD DR UNIT 122
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50014-3597
Practice Address - Country:US
Practice Address - Phone:573-864-9534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty