VILLAGE NUTRITIONIST NPI 1134763055

NPI Information

  • NPI: 1134763055
  • Provider Name: VILLAGE NUTRITIONIST
  • Classification: Dietitian, Registered - 133VN1101X
  • Specialization: Nutrition, Gerontological
  • Entity Type: Organization
  • Address: 842 MAYBANK LOOP
    THE VILLAGES, FL
    ZIP 32162
  • Phone: (352) 430-5487

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NPI Details

VILLAGE NUTRITIONIST is a nutrition and gerontological dietitian registered in The Villages, FL. The provider is an individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with gerontological nutrition through roles in management, industry, education, and research. VILLAGE NUTRITIONIST NPI is 1134763055. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

842 MAYBANK LOOP
THE VILLAGES, FL
ZIP 32162
Phone: (352) 430-5487

The provider's authorized official is John Vincent Logomarsino .
The authorized official title is Sole Member and has the following contact phone number (352) 430-5487.

The enumeration date for this NPI number is 11/4/2019 and was last updated on 11/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1101XDietitian, RegisteredNutrition, GerontologicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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