PERSONALIZED HEALTH NUTRITION, PLLC
NPI 1639563653
Dietitian, Registered in Orchard Park, NY

Active since March 27, 2015
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127(716) 710-7022 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Personalized Health Nutrition, Pllc NPPES

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

PERSONALIZED HEALTH NUTRITION, PLLC (NPI 1639563653) is a healthcare organization registered as a dietitian, registered in Orchard Park, New York and active in the NPI registry since March 2015. The organization lists Candi Possinger, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1639563653
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NamePERSONALIZED HEALTH NUTRITION, PLLC
Location Address3675 SOUTHWESTERN BLVDOrchard Park, NY 14127-1732
Mailing AddressPo Box 281Lancaster, NY 14086 · (716) 710-7022
Organization SubpartNo
Authorized OfficialCandi PossingerOwner/ceo · (716) 512-1147
Enumeration DateMarch 27, 2015
✔ NPI 1639563653 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 NY · 005387
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.
3675 SOUTHWESTERN BLVD, Orchard Park, NY 14127

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)

Personalized Health Nutrition, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Personalized Health Nutrition, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Registered Dietitian or Nutrition Professional
NPI 1205973153
3685 SOUTHWESTERN BLVD
Orchard Park, NY 14127
(716) 662-2408
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1750637674
1546 DELAWARE AVE # 1 APT #1
Buffalo, NY 14209
(248) 935-7009
✔ Accepts Medicare11 mi

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 Personalized Health Nutrition, PLLC's NPI number?

The NPI number for Personalized Health Nutrition, PLLC is 1639563653. It was assigned to this organization in the NPPES registry on March 27, 2015.

Where is Personalized Health Nutrition, PLLC located?

Personalized Health Nutrition, PLLC is located at 3675 Southwestern Blvd, Orchard Park, NY 14127. The listed phone number is (716) 710-7022.

What is Personalized Health Nutrition, PLLC's specialty?

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

Is Personalized Health Nutrition, PLLC enrolled in Medicare?

Yes. Personalized Health Nutrition, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Personalized Health Nutrition, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Personalized Health Nutrition, PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Personalized Health Nutrition, PLLC was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.