Organization
KNOWINGLY NOURISHED, LLC
Active
Other names
Nina Fearon, RDN, Nina Fearon, RDN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NINA FEARON RDN (OWNER)
(231) 881-6497
Entity
Organization
Contact information
Practice address
6642 S LAKE SHORE DR # DI, HARBOR SPRINGS, MI 49740-9785
(231) 881-6497
(231) 344-6033
Mailing address
6642 S LAKE SHORE DR, HARBOR SPRINGS, MI 49740-9785
(231) 881-6497
(231) 344-6033
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
813672
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
06/10/2020
Last updated
06/10/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up