IDENTITY NUTRITION, LLC
NPI 1437904141
Dietitian, Registered in Coatesville, PA
About Identity Nutrition, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDENTITY NUTRITION, LLC (NPI 1437904141) is a healthcare organization registered as a dietitian, registered in Coatesville, Pennsylvania and active in the NPI registry since April 2024. The organization lists Christina Jane Brochet, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Identity Nutrition, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Identity Nutrition, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Identity Nutrition, LLC's NPI number?
The NPI number for Identity Nutrition, LLC is 1437904141. It was assigned to this organization in the NPPES registry on April 17, 2024.
Where is Identity Nutrition, LLC located?
Identity Nutrition, LLC is located at 1284 Sterner Mill Rd, Coatesville, PA 19320. The listed phone number is (610) 466-5649.
What is Identity Nutrition, LLC's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Identity Nutrition, LLC enrolled in Medicare?
Yes. Identity Nutrition, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Identity Nutrition, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Identity Nutrition, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Identity Nutrition, LLC was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.