NICOLE LYNNE KIZITAFF RDN
NPI 1750655007
Dietitian, Registered in Mount Ephraim, NJ

Active since March 05, 2012
126 DAVIS AVE, MOUNT EPHRAIM, NJ 08059(856) 655-8182 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 17, 2018, Jan 18, 2018 (2 updates tracked since 2018).

About Nicole Lynne Kizitaff Rdn NPPES

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

NICOLE LYNNE KIZITAFF RDN (NPI 1750655007) is an individual dietitian, registered in Mount Ephraim, New Jersey, licensed in New Jersey (1019387) and active in the NPI registry since March 2012. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1750655007
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE LYNNE KIZITAFFCredential: RDN
Location Address126 DAVIS AVEMount Ephraim, NJ 08059-1614
Mailing Address126 Davis AveMount Ephraim, NJ 08059-1614 · (856) 655-8182
Sole ProprietorYes
Enumeration DateMarch 5, 2012
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1750655007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in NJ · 1019387✔ Licensed in PA · 1019387
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.
126 DAVIS AVE, Mount Ephraim, NJ 08059

Secondary Practice Location 1

Location 11930 S Broad StPhiladelphia, PA 19145-2328 · Phone (215) 339-4563

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 Nicole Kizitaff's NPI number?

The NPI number for Nicole Kizitaff is 1750655007. It was assigned to this individual provider in the NPPES registry on March 5, 2012.

Where is Nicole Kizitaff located?

Nicole Kizitaff practices at 126 Davis Ave, Mount Ephraim, NJ 08059. The listed phone number is (856) 655-8182.

What is Nicole Kizitaff's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Kizitaff was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.