VITAL NUTRITION DIETITIAN
NPI 1477330603
Dietitian, Registered in Ocala, FL

Q: What is Vital Nutrition Dietitian's NPI number?

The NPI number for Vital Nutrition Dietitian is 1477330603. It was assigned to this organization in the NPPES registry on September 12, 2023.

Q: What is Vital Nutrition Dietitian's specialty?

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

Active since September 12, 2023

4083 SW 49TH TER, OCALA, FL 34474(734) 755-4975(352) 352-9390 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Vital Nutrition Dietitian NPPES

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

VITAL NUTRITION DIETITIAN (NPI 1477330603) is a healthcare organization registered as a dietitian, registered in Ocala, Florida and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Ocala and lists Devin Breedon, Owner, as its authorized official.

NPPES Registry Identity

NPI1477330603

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameVITAL NUTRITION DIETITIAN

Location Address4083 SW 49TH TEROcala, FL 34474-9684

Mailing Address4083 Sw 49th TerOcala, FL 34474-9684 · (734) 755-4975 · Fax (352) 352-9390

Phone(734) 755-4975

Fax(352) 352-9390

Organization SubpartNo

Authorized OfficialDevin BreedonOwner · (734) 755-4975

Enumeration DateSeptember 12, 2023

Last NPPES UpdateJanuary 23, 2024

NPPES CertifiedJanuary 23, 2024

✔ NPI 1477330603 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.

4083 SW 49TH TER, Ocala, FL 34474

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Secondary Practice Location 1

Location 12400 SW 21st CirOcala, FL 34471-1332 · Phone (352) 873-6353

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)

Vital Nutrition Dietitian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Vital Nutrition Dietitian, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.