RESILIENT NUTRITION
NPI 1720855513
Dietitian, Registered in Port Saint Lucie, FL

Q: What is Resilient Nutrition's NPI number?

The NPI number for Resilient Nutrition is 1720855513. It was assigned to this organization in the NPPES registry on December 11, 2023.

Q: What is Resilient Nutrition's specialty?

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

Active since December 11, 2023

407 COCONUT AVE E, PORT SAINT LUCIE, FL 34952(802) 376-8964 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2024, Dec 11, 2023 (2 updates tracked since 2023).

On this page

About Resilient Nutrition NPPES

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

RESILIENT NUTRITION (NPI 1720855513) is a healthcare organization registered as a dietitian, registered in Port Saint Lucie, Florida and active in the NPI registry since December 2023. The organization lists Tegan Bissell, Founder, as its authorized official.

NPPES Registry Identity

NPI1720855513

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameRESILIENT NUTRITION

Location Address407 COCONUT AVE EPort Saint Lucie, FL 34952-1328

Mailing Address407 Coconut Ave EPort Saint Lucie, FL 34952-1328 · (802) 376-8964

Phone(802) 376-8964

Organization SubpartNo

Authorized OfficialTegan BissellFounder · (802) 376-8964

Enumeration DateDecember 11, 2023

Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2024

✔ NPI 1720855513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/CenterTaxonomy 261Q00000X

407 COCONUT AVE E, Port Saint Lucie, FL 34952

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Resilient Nutrition 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 Resilient Nutrition, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tegan Bissell, RD, LDN, CDCES

Registered Dietitian or Nutrition Professional

NPI 1437542230

3496 NW FEDERAL HWY SUITE F
Jensen Beach, FL 34957

(772) 223-4916

✔ Accepts Medicare7.0 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 Resilient Nutrition's NPI number?

The NPI number for Resilient Nutrition is 1720855513. It was assigned to this organization in the NPPES registry on December 11, 2023.

Where is Resilient Nutrition located?

Resilient Nutrition is located at 407 Coconut Ave E, Port Saint Lucie, FL 34952. The listed phone number is (802) 376-8964.

What is Resilient Nutrition's specialty?

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

Is Resilient Nutrition enrolled in Medicare?

Yes. Resilient Nutrition is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Resilient Nutrition?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Resilient Nutrition. 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 Resilient Nutrition was last updated on January 4, 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.