Organization Active NPI

Life MNT LLC

  • Nutritionist
  • Weston, FL
National Provider Identifier
1619880994
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
LIFE MNT LLC
Practice address
16590 Royal Poinciana CT
Weston, FL 33326-1743
Phone
(561) 201-6237
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Jenny Gonzalez, LDNNPI 1841103124
Title
Manager
Phone
(561) 201-6237

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
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

16590 Royal Poinciana CT
Weston, FL 33326-1743

Mailing address

16590 Royal Poinciana CT
Weston, FL 33326-1743
Phone (561) 201-6237

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1619880994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16590 ROYAL POINCIANA CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261743",
            "telephone_number": "561-201-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16590 ROYAL POINCIANA CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261743",
            "telephone_number": "561-201-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MNT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-201-6237",
        "authorized_official_credential": "LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.