=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003628157
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOOD&NUTRITION BY ARELLA, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2025
-----------------------------------------------------
Last Update Date | 03/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 309 SHIRLEY DR
-----------------------------------------------------
City | WACO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76705-1126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-954-4742
-----------------------------------------------------
Fax | 214-853-5824
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 309 SHIRLEY DR
-----------------------------------------------------
City | WACO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76705-1126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-954-4742
-----------------------------------------------------
Fax | 214-853-5824
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | ARELLA FIELDS
-----------------------------------------------------
Credential | MPH, RD, LD
-----------------------------------------------------
Telephone | 918-954-4742
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------