Soul Fire Nutrition, LLC
NPI 1164367918ActiveOrganization· Dietitian, Registered· Fort Polk, LA
Dietitian, Registered in Fort Polk, Louisiana, registered in NPPES in April 2026. The authorized official on file is Cassandra Marie Dulworth, RDN, Founder/Ceo.
Overview
| NPI | 1164367918 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2026 |
| Last updated in NPPES | Apr 20, 2026 |
| Certified by provider | Apr 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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