Original Nourishment LLC
Original Nourishment LLC is a healthcare organization registered as Health Service Clinic/Center in Oakland, MD, holding Type 2 (organization) NPI 1114744281 since 2024. The authorized official on file is Taylor Fury, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114744281 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Original Nourishment LLC |
| Practice address | 5000 THAYER CTR STE C, Oakland, MD, 21550 |
| Phone | 2402056730 |
| Enumeration date | 2024-09-20 |
| Last updated in NPPES | 2024-10-01 |
Authorized official
| Name | Taylor Fury |
|---|---|
| Title | Owner |
| Phone | 2402056730 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 133N00000X | Nutritionist | Secondary | — | — |
| 133NN1002X | Nutrition Education Nutritionist | Secondary | — | — |
| 171100000X | Acupuncturist | Secondary | — | — |
| 171400000X | Health & Wellness Coach | Secondary | — | — |
| 174H00000X | Health Educator | Secondary | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | Secondary | — | — |
| 261QP3300X | Pain Clinic/Center | Secondary | — | — |
| 261QH0100X | Health Service Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Original Nourishment LLC NPI: 1114744281 Taxonomy: 261QH0100X (Health Service Clinic/Center) Address: 5000 THAYER CTR STE C, Oakland, MD, 21550
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346473105 | Kim Barsella | Individual | Clinical Social Worker | Oakland, MD |
| 1265749311 | Leiora Kortvely | Individual | Clinical Social Worker | Oakland, MD |
| 1326388018 | Shelly Yost | Individual | Clinical Social Worker | Oakland, MD |
| 1700129319 | Melanie Lyles-Williams | Individual | Social Worker | Oakland, MD |
| 1427497908 | Sarah Diekman | Individual | Occupational Medicine Physician | Oakland, MD |
| 1013307933 | Renea Slaughter | Individual | Clinical Social Worker | Oakland, MD |
| 1588056915 | Alysha Lawrence | Individual | Speech-Language Pathologist | Oakland, MD |
| 1740651694 | Jasmine Wilson | Individual | Clinical Social Worker | Oakland, MD |
Verify this record
Cross-check NPI 1114744281 against the authoritative CMS record: view Original Nourishment LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Original Nourishment LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-01.