JUSTIN PELHAM MS RD LD
NPI 1548671035
Dietitian, Registered in Nacogdoches, TX

Q: What is Justin Pelham's NPI number?

The NPI number for Justin Pelham is 1548671035. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Q: What is Justin Pelham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Pelham was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 19, 2014

4920 NE STALLINGS DR, NACOGDOCHES, TX 75965(936) 569-9481(936) 568-3365 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Justin Pelham Ms Rd Ld NPPES

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

JUSTIN PELHAM MS RD LD (NPI 1548671035) is an individual dietitian, registered in Nacogdoches, Texas, licensed in Texas (DT82286) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1548671035

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameJUSTIN PELHAMCredential: MS RD LD

Location Address4920 NE STALLINGS DRNacogdoches, TX 75965-1254

Mailing Address4920 Ne Stallings DrNacogdoches, TX 75965-1254 · (936) 569-9481 · Fax (936) 568-3365

Phone(936) 569-9481

Fax(936) 568-3365

Sole ProprietorNo

Enumeration DateMay 19, 2014

✔ NPI 1548671035 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 · DT82286

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.

4920 NE STALLINGS DR, Nacogdoches, TX 75965

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

LIEN NGUYEN D.O.

Emergency Medicine