NOT YOUR AVERAGE NUTRITIONIST NPI 1629623020

NPI Information

  • NPI: 1629623020
  • Provider Name: NOT YOUR AVERAGE NUTRITIONIST
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Address: 1264 HIGUERA ST STE 108A
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Phone: (805) 801-1321

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NPI Details

NOT YOUR AVERAGE NUTRITIONIST is a dietitian registered in San Luis Obispo, CA. The provider is 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. NOT YOUR AVERAGE NUTRITIONIST NPI is 1629623020. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1264 HIGUERA ST STE 108A
SAN LUIS OBISPO, CA
ZIP 93401-184
Phone: (805) 801-1321
Fax: (888) 765-0374

The provider's authorized official is Elizabeth Gordon Parker .
The authorized official title is Owner and has the following contact phone number (805) 801-1321.

The enumeration date for this NPI number is 8/3/2019 and was last updated on 8/3/2019.

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
1133V00000XDietitian, RegisteredYes

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: 11/21/2025

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