NPIMap

Organization Active NPI

Beach Hippie Nutritionist LLC

  • Registered Dietitian
  • Navarre, FL
National Provider Identifier
1548906993
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BEACH HIPPIE NUTRITIONIST LLC
Practice address
9200 Navarre Pkwy Ste F
Navarre, FL 32566-2977
Phone
(985) 278-0753
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Rachel Punch, RDNPI 1255885240
Title
Owner
Phone
(985) 278-0753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

9200 Navarre Pkwy Ste F
Navarre, FL 32566-2977

Mailing address

1905 Frontera St
Navarre, FL 32566-9133

National Provider Directory

National Provider Directory

Locations

9200 Navarre Pkwy
#F
Navarre, FL 32566
Phone (985) 278-0753

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1548906993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 FRONTERA ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325669133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 NAVARRE PKWY STE F",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662977",
            "telephone_number": "985-278-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH HIPPIE NUTRITIONIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "PUNCH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-278-0753",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.