ELITE WELLNESS
NPI 1568692135
Nutritionist in Jamaica Plain, MA

Active since July 17, 2009
18 HYDE PARK AVE, SUITE 4, JAMAICA PLAIN, MA 02130(617) 522-4397 Get Directions Write a Review

NPPES record last updated: July 17, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nutritionist

About ELITE WELLNESS

This page provides the complete NPI Profile along with additional information for Elite Wellness, a provider established in Jamaica Plain, Massachusetts operating as a Nutritionist. The healthcare provider is registered in the NPI registry with number 1568692135 assigned on July 2009. The practitioner's primary taxonomy code is 133N00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Elite Wellness operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Elite Wellness. The authorized official of this NPI record is Mishell Ronica Brookins (President)

NPI
1568692135 Verify this NPI
Provider Legal Name
ELITE WELLNESS
Other Organization Name
ELITE WELLNESS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
18 HYDE PARK AVE SUITE 4 JAMAICA PLAIN, MA 02130
Location Phone
(617) 522-4397
Mailing Address
18 HYDE PARK AVE SUITE 4 JAMAICA PLAIN, MA 02130
Mailing Phone
(617) 522-4397
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2009
Last Update Date
07-17-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nutritionist

Taxonomy Code
133N00000X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISHELL RONICA BROOKINS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(617) 522-4397

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568692135, enumerated as an "organization" on July 17, 2009.

The provider is located at 18 HYDE PARK AVE SUITE 4 JAMAICA PLAIN, MA 02130 and the phone number is (617) 522-4397.

Nutritionist with taxonomy code 133N00000X.