FULL STRIDE WELLNESS
NPI 1992105548
Dietitian, Registered in Reisterstown, MD

Active since September 02, 2014
100 BUSINESS CENTER DR, REISTERSTOWN, MD 21136(410) 833-0503 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dietitian, Registered

About FULL STRIDE WELLNESS

This page provides the complete NPI Profile along with additional information for Full Stride Wellness, a provider established in Reisterstown, Maryland operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1992105548 assigned on September 2014. The practitioner's primary taxonomy code is 133V00000X with license number DX3643 (MD). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Jennifer Cook Atc, Lat (Owner)

NPI
1992105548 Verify this NPI
Provider Name
FULL STRIDE WELLNESS
Entity Type
Organization
Location Address
100 BUSINESS CENTER DR REISTERSTOWN, MD 21136
Location Phone
(410) 833-0503
Mailing Address
100 BUSINESS CENTER DR REISTERSTOWN, MD 21136
Mailing Phone
(410) 833-0503
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2014
Last Update Date
09-02-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
DX3643
License State
MD
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JENNIFER COOK ATC, LAT

Authorized Official Title
OWNER
Authorized Official Phone
(410) 833-0503

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dietitian, Registered
100 BUSINESS CENTER DR
REISTERSTOWN, MD 21136
Dietitian, Registered
100 BUSINESS CENTER DR
REISTERSTOWN, MD 21136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992105548, enumerated as an "organization" on September 02, 2014.

The provider is located at 100 BUSINESS CENTER DR REISTERSTOWN, MD 21136 and the phone number is (410) 833-0503.

Dietitian, Registered with taxonomy code 133V00000X.