VITAL NUTRITION 12 LLC
NPI 1851048375
Dietitian, Registered in College Station, TX
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
Specialties & Licenses
Group Practice 1
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)
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.