Nutrition Pathways LLC

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

NUTRITION PATHWAYS LLC

Practice address

170 Airpark Blvd # 103
Immokalee, FL 34142-3833

Phone

(239) 217-4888

NPI assigned

Sep 25, 2025

Organization subpart

No

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

Authorized official

Name

Paul Thein

Title

Authorized Official

Phone

(239) 302-9223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1538032610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S 5TH ST STE 100D",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341424301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AIRPARK BLVD # 103",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341423833",
            "telephone_number": "239-217-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "THEIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "239-302-9223"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Foods Supplier in Immokalee, FL
• Providers in Immokalee, FL by specialty
• Medical Foods Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.