EVETHA MALCOLM-THERIAULT (RD) – Registered Dietitian, NPI 1659891521

EVETHA MALCOLM-THERIAULT (RD) is a healthcare provider. based in Gulf breeze, Florida. specializing in Registered Dietitian. They hold the professional credentials RD. They hold a License No. DTND346 (AK). The NPI Number for EVETHA MALCOLM-THERIAULT (RD) is 1659891521

Main info

Female
Sole Proprietor
Name
EVETHA MALCOLM-THERIAULT (RD)
NPI
1659891521
Phone
(850) 339-0728
Address
3311 GULF BREEZE PKWY # 110
Enumeration Date
22 June 2017
Last Update Date
23 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:8State licenses:4Digital endpointsOther names

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Provider Addresses for EVETHA MALCOLM-THERIAULT (RD)

  • 3311 GULF BREEZE PKWY # 110

    GULF BREEZE, FL 325633351

    Phone: (850) 339-0728

    Type: Mailing

  • 1008 MINNEQUA AVE RM 4206

    PUEBLO, CO 810043733

    Phone: (719) 557-5955

    Fax: (719) 557-5988

    Type: Mailing

  • Saint Mary-Corwin Medical Center, 1008, Minnequa Avenue, Pueblo, Pueblo County, Colorado, 81004, United States

    ST. MARY-CORWIN MEDICAL CENTER /DIABETES HEALTH CENTER

    PUEBLO, CO 81004, CO 81004

    Phone: (719) 557-5955

    Fax: (719) 557-5988

    Type: Location

  • 6000 W HIGHWAY 98

    NAVY HOSPITAL PENSACOLA

    PENSACOLA, FL 32512

    Phone: (850) 505-6210

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32563)

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Frequently asked questions

What federal number belongs to EVETHA MALCOLM-THERIAULT (RD)?
The federal identifier for EVETHA MALCOLM-THERIAULT (RD) is NPI 1659891521.
Is EVETHA MALCOLM-THERIAULT (RD)'s NPI currently valid?
The extract we use shows EVETHA MALCOLM-THERIAULT (RD) as active.
Does EVETHA MALCOLM-THERIAULT (RD) list a primary specialty?
If you are matching referrals, note Registered Dietitian for EVETHA MALCOLM-THERIAULT (RD). Clinical services aligned with this taxonomy classification.
Does EVETHA MALCOLM-THERIAULT (RD) practice in Florida?
You will see Gulf Breeze, Florida on file for EVETHA MALCOLM-THERIAULT (RD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.