MEDICARE: FOOD&NUTRITION BY ARELLA, 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	:	1003628157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOD&NUTRITION BY ARELLA, LLC

Provider Business Mailing Address
First Line	:	309 SHIRLEY DR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76705-1126
Country	:	US
Telephone Number	:	918-954-4742
Fax Number	:	214-853-5824

Provider Business Practice Location Address
First Line	:	309 SHIRLEY DR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76705-1126
Country	:	US
Telephone Number	:	918-954-4742
Fax Number	:	214-853-5824

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ARELLA FIELDS
Credential	:	MPH, RD, LD
Telephone Number	:	918-954-4742

Provider Enumeration Date	:	01/24/2025
Last Update Date	:	03/02/2026

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