PERSONALIZED NUTRITION INC NPI 1821438078

NPI Information

  • NPI: 1821438078
  • Provider Name: PERSONALIZED NUTRITION INC
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Address: 661 GOODLETTE RD N
    SUITE 104
    NAPLES, FL
    ZIP 34102
  • Phone: (239) 649-4565

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NPI Details

PERSONALIZED NUTRITION INC is a dietitian registered in Naples, FL. 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. PERSONALIZED NUTRITION INC NPI is 1821438078. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

661 GOODLETTE RD N
SUITE 104
NAPLES, FL
ZIP 34102-609
Phone: (239) 649-4565

The provider's authorized official is Bonnie Masterson .
The authorized official title is President and has the following contact phone number (239) 734-2600.

The enumeration date for this NPI number is 7/2/2013 and was last updated on 7/2/2013.

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, RegisteredND332FLORIDANo
2133V00000XDietitian, RegisteredND429FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CJ889MEDICARE UPINFLORIDA
2E8429MEDICARE UPINFLORIDA

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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