Taylor Wilson Nutrition & Performance LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

TAYLOR WILSON NUTRITION & PERFORMANCE LLC

Practice address

6 Glenwood PL
Spring Lake, NJ 07762-1618

Phone

(856) 304-3134

NPI assigned

Jan 28, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Taylor Wilson, MS, RDNPI 1215543343

Title

Registered Dietitian

Phone

(856) 304-3134

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Wilson, MS, RD

  • Registered Dietitian
  • Spring Lake, NJ
  • NPI 1215543343

  Dietitian, Registered

  NPD Authorized official

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": "1245043058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GLENWOOD PL",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLENWOOD PL",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621618",
            "telephone_number": "856-304-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR WILSON NUTRITION & PERFORMANCE 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": "WILSON",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "856-304-3134",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Spring Lake, NJ
• Providers in Spring Lake, NJ by specialty
• Registered Dietitian in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.