VITAL NUTRITION 12 LLC
NPI 1851048375
Dietitian, Registered in College Station, TX

Active since March 04, 2022
1551 GREENS PRAIRIE RD W STE 101A, COLLEGE STATION, TX 77845(818) 726-3495 Get Directions Write a Review

NPPES record last updated: September 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2022, Sep 13, 2022, Jul 25, 2022 and 2 more (5 updates tracked since 2022).

About Vital Nutrition 12 Llc NPPES

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

VITAL NUTRITION 12 LLC (NPI 1851048375) is a healthcare organization registered as a dietitian, registered in College Station, Texas and active in the NPI registry since March 2022. The organization lists Sahar Fayad, Owner, as its authorized official.

NPPES Registry Identity

NPI1851048375
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameVITAL NUTRITION 12 LLC
Location Address1551 GREENS PRAIRIE RD W STE 101ACollege Station, TX 77845-8666
Mailing Address1551 Greens Prairie Rd W Ste 101aCollege Station, TX 77845-8666 · (979) 465-7618
Organization SubpartNo
Authorized OfficialSahar FayadOwner · (979) 465-7618
Enumeration DateMarch 4, 2022
Last NPPES UpdateSeptember 24, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2022
✔ NPI 1851048375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1551 GREENS PRAIRIE RD W STE 101A, College Station, TX 77845

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)

Vital Nutrition 12 Llc 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 Vital Nutrition 12 LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1548746290
1551 GREENS PRAIRIE RD W STE 101A
College Station, TX 77845
(979) 465-7618
Same address

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 Vital Nutrition 12 LLC's NPI number?

The NPI number for Vital Nutrition 12 LLC is 1851048375. It was assigned to this organization in the NPPES registry on March 4, 2022.

Where is Vital Nutrition 12 LLC located?

Vital Nutrition 12 LLC is located at 1551 Greens Prairie Rd W Ste 101A, College Station, TX 77845. The listed phone number is (818) 726-3495.

What is Vital Nutrition 12 LLC's specialty?

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

Is Vital Nutrition 12 LLC enrolled in Medicare?

Yes. Vital Nutrition 12 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vital Nutrition 12 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Vital Nutrition 12 LLC. 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 Vital Nutrition 12 LLC was last updated on September 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.