Active NPI
Bienestar Nutrition LLC
- Metabolic Nutrition Registered Dietitian
- Spring Hill, FL
National Provider Identifier
1063225639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- Legal business name
- BIENESTAR NUTRITION LLC
- Practice address
- 5346 Mariner Blvd
Spring Hill, FL 34609-1635 - Phone
- (786) 923-6039
- NPI assigned
- Jan 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Ann Mejia, RD
- Title
- Registered Dietitian
- Phone
- (786) 923-6039
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Primary |
Addresses
Primary practice location
5346 Mariner Blvd
Spring Hill, FL 34609-1635
Mailing address
1720 Fruitland Dr
Deltona, FL 32725-4594
Phone (786) 923-6039
Other practice location 1
1720 Fruitland Dr
Deltona, FL 32725-4594
Phone (786) 923-6039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Deltona, FL
- NPI 1346621935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1063225639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 FRUITLAND DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327254594",
"telephone_number": "786-923-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5346 MARINER BLVD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346091635",
"telephone_number": "786-923-6039"
}
],
"practiceLocations": [
{
"address_1": "1720 Fruitland Dr",
"address_purpose": "LOCATION",
"city": "Deltona",
"state": "FL",
"postal_code": "327254594",
"country_code": "US",
"telephone_number": "786-923-6039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BIENESTAR NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "MEJIA",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "786-923-6039",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.