Ignite Performance Nutrition, LLC

Registered Dietitian · Forsyth, GA

Organization Active NPI

NPI number 1669227005

Practice location

71 N Jackson St
Forsyth, GA 31029-2168
Phone
(580) 279-0109

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NPI record

NPI
1669227005
Entity type
Organization (Type 2)
Enumeration date
April 19, 2024
Last updated
April 26, 2024
Certified
April 26, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X — —
Pediatric Nutrition Registered Dietitian 133VN1004X — —
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X — —
Sports Dietetics Nutrition Registered Dietitian 133VN1501X — —

Mailing address

100 N Belmont Way
Forsyth, GA 31029-5372
Phone
(580) 279-0109

Authorized official

Name
Melissa Lynn Hoover, RD, LD
Title
Registered Dietitian
Phone
(580) 279-0109

Other names

  • Ignite Nutrition Services
  • Ignite Nutrition Services

About Ignite Performance Nutrition, LLC

Ignite Performance Nutrition, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 71 N Jackson St, Forsyth, GA 31029-2168. The NPI number 1669227005 was assigned on April 19, 2024 and the record was last updated on April 26, 2024.

The authorized official for this organization is Melissa Lynn Hoover, RD, LD, Registered Dietitian.

Frequently asked questions

What is the NPI number of Ignite Performance Nutrition, LLC?

The NPI number is 1669227005.

What is the phone number of Ignite Performance Nutrition, LLC?

The phone number listed for the practice location is (580) 279-0109.

Where is Ignite Performance Nutrition, LLC located?

71 N Jackson St, Forsyth, GA 31029-2168.

What is the taxonomy code for Ignite Performance Nutrition, LLC?

The primary taxonomy code is 133V00000X – Registered Dietitian; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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