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NUTRISOURCE NUTRITIONAL SERVICES
NPI 1285869974
Dietitian, Registered in Brunswick, GA

Active since May 25, 2009
3226 HAMPTON AVE STE F, BRUNSWICK, GA 31520(912) 222-7755(912) 264-4071 Get Directions Write a Review

NPPES record last updated: May 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nutrisource Nutritional Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUTRISOURCE NUTRITIONAL SERVICES (NPI 1285869974) is a healthcare organization registered as a dietitian, registered in Brunswick, Georgia and active in the NPI registry since May 2009. The organization lists Lauren A Giczewski, Owner, as its authorized official.

NPPES Registry Identity

NPI1285869974
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameNUTRISOURCE NUTRITIONAL SERVICES
Location Address3226 HAMPTON AVE STE FBrunswick, GA 31520-4252
Mailing Address620 Sea Island Rd, Pmb 273St Simons Island, GA 31522-1767 · (912) 222-7755 · Fax (912) 264-4071
Phone(912) 222-7755
Fax(912) 264-4071
Organization SubpartNo
Authorized OfficialLauren A GiczewskiOwner · (912) 222-7755
Enumeration DateMay 25, 2009
✔ NPI 1285869974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in GA · LD002579
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3226 HAMPTON AVE STE F, Brunswick, GA 31520
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Other Identifiers 4

OtherT118230American Council On Exercise Personal Trainer
OtherLD002579GA · Licensed Dietitian
Other931505Commission On Dietetic Registration
Other00931505American Dietetic Association

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONYA PATRICE RIVERS LMT
Massage Therapist
3226 HAMPTON AVE STE F
BRUNSWICK, GA 31520
Glynn County (912) 399-9947
MRS. JENNIFER LYNN NICHOLSON RD, LD/N, MSH
Dietitian, Registered
3226 HAMPTON AVE STE F
BRUNSWICK, GA 31520
Glynn County (912) 264-9724
DR. WHITNEY ELLIS MCCONNELL
Podiatrist (Foot & Ankle Surgery)
3226 HAMPTON AVE STE F
BRUNSWICK, GA 31520
Glynn County (912) 629-7800
ELIZABETH BANKS RYLAND PH.D.
Psychologist
3226 HAMPTON AVE STE F
BRUNSWICK, GA 31520
Glynn County (912) 264-9724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nutrisource Nutritional Services's NPI number?

The NPI number for Nutrisource Nutritional Services is 1285869974. It was assigned to this organization in the NPPES registry on May 25, 2009.

Where is Nutrisource Nutritional Services located?

Nutrisource Nutritional Services is located at 3226 Hampton Ave Ste F, Brunswick, GA 31520. The listed phone number is (912) 222-7755.

What is Nutrisource Nutritional Services's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Nutrisource Nutritional Services was last updated on May 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.