Brevard Nutrition, Inc. – Registered Dietitian, NPI 1952623324

Brevard Nutrition, Inc. is a healthcare provider. based in Indialantic, Florida. specializing in Registered Dietitian. The organization holds a License No. ND 5470 (FL). The NPI Number for Brevard Nutrition, Inc. is 1952623324

Main info

Organization
Name
Brevard Nutrition, Inc.
NPI
1952623324
Phone
(443) 253-3170
Address
514 VERACRUZ BLVD
Authorized Official
KRISTINE ANN VAN WORKUM PRESIDENT RD, LDN
Enumeration Date
25 February 2010
Last Update Date
25 February 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness80
Years active:16State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Brevard Nutrition, Inc.

  • 514 VERACRUZ BLVD

    INDIALANTIC, FL 329034728

    Phone: (443) 253-3170

    Fax: (321) 327-7914

    Type: Mailing

  • 107, North Palm Avenue, Indialantic, Brevard County, Florida, 32903, United States

    INDIALANTIC, FL 329033131

    Phone: (321) 327-7948

    Fax: (321) 327-7914

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

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

Insurance plans in this area (ZIP 32903)

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Reviews

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Frequently asked questions

Can I verify Brevard Nutrition, Inc. with an NPI only?
You can start verification with NPI 1952623324 for Brevard Nutrition, Inc., then check state licensing separately.
Is Brevard Nutrition, Inc. still practicing?
Brevard Nutrition, Inc. is currently listed as active in the public NPI registry.
What is Brevard Nutrition, Inc.'s specialty?
The listing groups Brevard Nutrition, Inc. with Registered Dietitian. Clinical services aligned with this taxonomy classification.
What area does Brevard Nutrition, Inc. serve?
Brevard Nutrition, Inc.'s listing highlights Indialantic, Florida; more addresses can appear in NPPES.
Is the information about Brevard Nutrition, Inc. up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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