PERSONALIZED NUTRITION INC (NPI# 1821438078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821438078 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED NUTRITION INC |
| Practice Address |
661 Goodlette Rd N Suite 104 Naples FL 34102-5609 |
| Mailing Address |
590 Starboard Dr Naples FL 34103-4144 |
| Practice Telephone | 2396494565 |
| Mailing Telephone | 2397342600 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |
| Authorized Official Name | MRS. BONNIE MASTERSON (PRESIDENT) |
| Authorized Official Telephone | 2397342600 |
| Authorized Official Credential | MS,RD,CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | ND332 | FL | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | ND429 | FL | Dietary & Nutritional Service Providers |
| Street Address |
661 GOODLETTE RD N SUITE 104 |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205835618 | Lynn Kepple Byerly | Ophthalmology | 661 Goodlette Rd N, Suite 105, Naples, FL 34102-5609 | 2005-07-18 |
| 1265830731 | Anthony R Aufiero | Physical Therapist | 661 Goodlette Rd N, Ste 101, Naples, FL 34102 | 2014-12-15 |
| 1205235298 | Kelly Christine Hettenbaugh | Physical Therapy Assistant | 661 Goodlette Rd N, Suite 101, Naples, FL 34102-5609 | 2014-08-15 |
| 1073866042 | Christopher Ippolito | Physical Therapist | 661 Goodlette Rd N, Ste 101, Naples, FL 34102-5609 | 2012-10-16 |
| 1457613440 | Bonnie Maas | Occupational Therapy Assistant | 661 Goodlette Rd N, Ste 101, Naples, FL 34102-5609 | 2012-06-14 |
| 1700073699 | Naples Eye Physicians Optical Shop, Inc | Eyewear Supplier (Equipment, not the service) | 661 Goodlette Rd N, Suite 105, Naples, FL 34102-5609 | 2007-09-25 |
| 1134322373 | Kevin Kwan Lam | Podiatrist | 661 Goodlette Rd N, Suite 103, Naples, FL 34102-5609 | 2007-06-06 |
| 1164436630 | Susan L Avren | Physical Therapy Assistant | 661 Goodlette Rd N, Suite 101, Naples, FL 34102-5609 | 2006-07-28 |
| 1922047687 | Debby Flowers-hale | Massage Therapist | 661 Goodlette Rd N, Suite 101, Naples, FL 34102-5609 | 2006-06-06 |
| 1184663908 | Tim Byers | Occupational Therapist | 661 Goodlette Rd N, Suite 101, Naples, FL 34102-5609 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442599 | Danielle Elizabeth Tompkins | Dietitian, Registered | 2265 Valencia Lakes Cir, Naples, FL 34120-7499 | 2020-06-22 |
| 1538520291 | Naples Nutrition Associates LLC | Dietitian, Registered | 4522 Executive Dr Ste 103, Naples, FL 34119-9013 | 2016-03-09 |
| 1619301348 | Tricia Marshel | Dietitian, Registered | 498 Henley Dr, Naples, FL 34104-8390 | 2013-08-29 |
| 1669740361 | Rachel Ann Day | Dietitian, Registered | 1160 Turtle Creek Dr, Apt. #1033, Naples, FL 34110-9279 | 2011-12-08 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1073822052 | Beth Ellen Diluglio | Dietitian, Registered | 2260 21st St Sw, Naples, FL 34117-4606 | 2010-09-24 |
| 1487806279 | Cheryl Renette Robinson | Dietitian, Registered | 731 Willowhead Dr, Naples, FL 34103-3543 | 2008-10-13 |
| 1659491884 | Isabel Cristina Alvarez-jones | Dietitian, Registered | 410 6th St Ne, Naples, FL 34120-4016 | 2007-03-30 |
| 1164542304 | Karen Alida Stewart | Dietitian, Registered | 399 9th Street North, Suite 201, Naples, FL 34102 | 2007-03-30 |
| 1952450777 | Twyla Rose Leigh | Dietitian, Registered | 5775 Osceola Trl, Naples, FL 34109-0919 | 2007-01-10 |
| Find all providers in NAPLES | ||||
Please comment or provide details below to improve the information on PERSONALIZED NUTRITION INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.