Proactive Nutrition & Wellness Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PROACTIVE NUTRITION & WELLNESS INC

Practice address

114 Palm Breeze Dr
Edgewater, FL 32141-5901

Phone

(727) 409-0016

NPI assigned

May 21, 2020

Last updated

May 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Winquist, RD/LDNNPI 1194258699

Title

President

Phone

(727) 409-0016

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, and the practitioner matching its NPPES authorized official.

• Andrew Winquist, RD

  • Registered Dietitian
  • Daytona Beach, FL
  • NPI 1194258699

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1467075663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PALM BREEZE DR",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321415901",
            "telephone_number": "727-409-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PALM BREEZE DR",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321415901",
            "telephone_number": "727-409-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE NUTRITION & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "WINQUIST",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-409-0016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RD/LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinedale Gardens Assisted Living Inc.
• Victoria Plechac-Diaz, LCSW
• John G Ponder
• Jamie Ponti, APRN
• Roger Prieto, DDS
• Professional Lymphedema Services Inc
• Professional Physical Therapy and Associates LTD Co
• Publix Super Markets Inc (Publix Pharmacy #0429)
• Pulse Medical Staffing LLC
• Pulse Medical Staffing LLC

• Registered Dietitian in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.