Individual provider Active NPI

Devin P Breedon, RD

  • Registered Dietitian
  • Ocala, FL
National Provider Identifier
1376847004
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
5100 W Highway 40 Ste 700
Ocala, FL 34482-8517
Phone
(352) 462-3602
Fax
(352) 352-9390
NPI assigned
Jan 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

5100 W Highway 40 Ste 700
Ocala, FL 34482-8517

Mailing address

4083 SW 49TH Ter
Ocala, FL 34474-9684
Phone (734) 755-4975

Other practice location 1

4083 SW 49th Ter
Ocala, FL 34474-9684
Phone (352) 462-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601000563 FL Practitioner - Registered Dietitian Or Nutrition Professional 2264828060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Vital Nutrition DietitianGroup PAC ID 7113370081, 3 clinicians

Practice addresses (Care Compare)

4083 SW 49TH Ter
Ocala, FL 34474-9684
Phone (734) 755-4975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Nutrition Dietitian Dietitian, Registered CurrentSince Nov 20, 2023 Accepting new patients

Locations

2508 SE 17th St
Ste C
Ocala, FL 34471

5100 W Highway 40
Ste 700
Ocala, FL 34482
Phone (352) 462-3602

4519 Woodruff Rd
Ste 4
Columbus, GA 31904
Phone (706) 480-3490

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1376847004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 SW 49TH TER",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344749684",
            "telephone_number": "734-755-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W HIGHWAY 40 STE 700",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344828517",
            "telephone_number": "352-462-3602",
            "fax_number": "352-352-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4083 SW 49th Ter",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344749684",
            "country_code": "US",
            "telephone_number": "352-462-3602",
            "fax_number": "352-352-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEDON",
        "first_name": "DEVIN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.