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NUTRITION FUNDAMENTALS LLC
NPI 1083141865
Dietitian, Registered in Justin, TX

Active since May 11, 2017
204 N JACKSON AVE, JUSTIN, TX 76247(208) 739-5781 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nutrition Fundamentals Llc NPPES

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

NUTRITION FUNDAMENTALS LLC (NPI 1083141865) is a healthcare organization registered as a dietitian, registered in Justin, Texas and active in the NPI registry since May 2017. The organization lists Kelsie Lewis, Owner, as its authorized official.

NPPES Registry Identity

NPI1083141865
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameNUTRITION FUNDAMENTALS LLC
Location Address204 N JACKSON AVEJustin, TX 76247-9582
Mailing Address1200 E Lamar Blvd Apt 142Arlington, TX 76011-4222 · (208) 739-5781
Phone(208) 739-5781
Organization SubpartNo
Authorized OfficialKelsie LewisOwner · (208) 739-5781
Enumeration DateMay 11, 2017
✔ NPI 1083141865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · 86052742
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.
204 N JACKSON AVE, Justin, TX 76247
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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 2

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

KAREN E WALTERS P.T.
Physical Therapist
204 N JACKSON AVE
JUSTIN, TX 76247
Denton County (940) 242-6641
SQUYRES INVESTMENTS LLC
Chiropractor
204 N JACKSON AVE
JUSTIN, TX 76247
Denton County (940) 441-9285

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 Nutrition Fundamentals LLC's NPI number?

The NPI number for Nutrition Fundamentals LLC is 1083141865. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Nutrition Fundamentals LLC located?

Nutrition Fundamentals LLC is located at 204 N Jackson Ave, Justin, TX 76247. The listed phone number is (208) 739-5781.

What is Nutrition Fundamentals 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 Nutrition Fundamentals LLC was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.