IDENTITY NUTRITION, LLC
NPI 1437904141
Dietitian, Registered in Coatesville, PA

Active since April 17, 2024
1284 STERNER MILL RD, COATESVILLE, PA 19320(610) 466-5649 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 26, 2024, Apr 17, 2024 (2 updates tracked since 2024).

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

NPI1437904141
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameIDENTITY NUTRITION, LLC
Location Address1284 STERNER MILL RDCoatesville, PA 19320-7702
Mailing Address1284 Sterner Mill RdCoatesville, PA 19320-7702 · (610) 466-5649
Organization SubpartNo
Authorized OfficialChristina Jane BrochetOwner · (610) 466-5649
Enumeration DateApril 17, 2024
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1437904141 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.
1284 STERNER MILL RD, Coatesville, PA 19320

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

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)

Registered Dietitian or Nutrition Professional
NPI 1538550504
1284 STERNER MILL RD
Coatesville, PA 19320
(610) 466-5649
Same address

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.