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BEACH LIFE NUTRITION LLC
NPI 1053029710
Dietitian, Registered in Virginia Beach, VA

Active since November 11, 2022
2920 CAMARILLO LN, VIRGINIA BEACH, VA 23456(904) 608-1068 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Beach Life Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACH LIFE NUTRITION LLC (NPI 1053029710) is a healthcare organization registered as a dietitian, registered in Virginia Beach, Virginia and active in the NPI registry since November 2022. The organization lists Jessica Edmonds, Rdn, as its authorized official.

NPPES Registry Identity

NPI1053029710
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameBEACH LIFE NUTRITION LLC
Location Address2920 CAMARILLO LNVirginia Beach, VA 23456-1558
Mailing Address2920 Camarillo LnVirginia Beach, VA 23456-1558
Phone(904) 608-1068
Organization SubpartNo
Authorized OfficialJessica EdmondsRdn · (904) 608-1068
Enumeration DateNovember 11, 2022
NPPES CertifiedNovember 11, 2022
✔ NPI 1053029710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2920 CAMARILLO LN, Virginia Beach, VA 23456
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Other Identifiers 1

Other818706Cdr Registration

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LYNN EDMONDS RDN
Dietitian, Registered
2920 CAMARILLO LN
VIRGINIA BEACH, VA 23456
Virginia Beach City (904) 608-1068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beach Life Nutrition LLC's NPI number?

The NPI number for Beach Life Nutrition LLC is 1053029710. It was assigned to this organization in the NPPES registry on November 11, 2022.

Where is Beach Life Nutrition LLC located?

Beach Life Nutrition LLC is located at 2920 Camarillo Ln, Virginia Beach, VA 23456. The listed phone number is (904) 608-1068.

What is Beach Life Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Beach Life Nutrition LLC was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.