MEDICARE: CLARIFIED NUTRITION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1710625843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARIFIED NUTRITION LLC

Provider Business Mailing Address
First Line	:	9307 DEARBORN ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66207-2421
Country	:	US
Telephone Number	:	913-303-9367
Fax Number	:	913-303-9367

Provider Business Practice Location Address
First Line	:	9307 DEARBORN ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66207-2421
Country	:	US
Telephone Number	:	913-303-9367
Fax Number	:	913-303-9367

Authorized Official
Title or Position	:	OWNER, REGISTERED DIETITIAN
Name	:	MRS. CLAIRE MCCASLIN WALSH
Credential	:	MS, RDN, LD
Telephone Number	:	913-303-9367

Provider Enumeration Date	:	05/27/2022
Last Update Date	:	05/27/2022

Similar Medicare Providers

1578797742 — MS. KATHLEEN A BOLT LSCSW
Practice Location Address:

9319 DEARBORN ST
OVERLAND PARK, KS
66207-2421

Practice Phone: 785-393-0215
Practice Fax:

1073585923 — DR. LEILANI PALMA BESA-LORIA M.D.
Practice Location Address:

11905 ROCKAWAY BLVD
SOUTH OZONE PARK, NY
11420-2421

Practice Phone: 718-843-3003
Practice Fax: 718-843-3504

1790737724 — DR. DIANA F GUTHANER M.D.
Practice Location Address:

2421 PARK BLVD STE B202
PALO ALTO, CA
94306-1956

Practice Phone: 650-617-8655
Practice Fax: 650-322-3416

1083644223 — JESSIE K JACOB MD
Practice Location Address:

2421 PARK BLVD STE B202
PALO ALTO, CA
94306-1956

Practice Phone: 650-617-8655
Practice Fax:

1730293671 — GLEN LORIA MD
Practice Location Address:

119-05 ROCKAWAY BLVD
SOUTH OZONE PARK, NY
11420-2421

Practice Phone: 718-843-3003
Practice Fax: 718-843-3504

1861501223 — THRIFTY PAYLESS INC
Practice Location Address:

10349 SEPULVEDA BOULEVARD , DENNIS PARK SHOPPING CENTER
MISSION HILLS, CA
91345-2421

Practice Phone: 818-891-1941
Practice Fax:

Directions to “CLARIFIED NUTRITION LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.