DEEP WELL COLLECTIVE NPI 1669210969

NPI Information

  • NPI: 1669210969
  • Provider Name: DEEP WELL COLLECTIVE
  • Classification: Nutritionist - 133N00000X
  • Entity Type: Organization
  • Address: 2071 AFTON MOUNTAIN RD
    AFTON, VA
    ZIP 22920
  • Phone: (434) 326-8635

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NPI Details

DEEP WELL COLLECTIVE is a nutritionist in Afton, VA. The provider is a specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. DEEP WELL COLLECTIVE NPI is 1669210969. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2071 AFTON MOUNTAIN RD
AFTON, VA
ZIP 22920-308
Phone: (434) 326-8635

The provider's authorized official is Ryan D Hall .
The authorized official title is Ceo and has the following contact phone number (434) 326-8635.

The enumeration date for this NPI number is 7/19/2024 and was last updated on 7/19/2024.

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
1133N00000XNutritionistYes
2133NN1002XNutritionistNutrition, EducationNo
3133V00000XDietitian, RegisteredNo
4133VN1006XDietitian, RegisteredNutrition, MetabolicNo
5133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
6133VN1301XDietitian, RegisteredNutrition, OncologyNo
7133VN1501XDietitian, RegisteredNutrition, Sports DieteticsNo

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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