Personalized Nutrition Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND429 Issued in FL

Legal business name

PERSONALIZED NUTRITION INC

Practice address

661 Goodlette Rd N
Suite 104
Naples, FL 34102-5609

Phone

(239) 649-4565

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie Masterson, MS,RD,CDENPI 1801974522

Title

President

Phone

(239) 734-2600

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie L Masterson, M.S.R.D.C.D.E.

  • Registered Dietitian
  • Naples, FL
  • NPI 1801974522

  Dietitian, Registered

  NPD (past) Authorized official
• Karen Sue Eastman, RD.LDN

  • Registered Dietitian
  • Naples, FL
  • NPI 1184745846

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1821438078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 STARBOARD DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034144",
            "telephone_number": "239-734-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N",
            "address_2": "SUITE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-649-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED NUTRITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-734-2600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,RD,CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND332",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linette Perry, M.S.
• Nina Christine Perry, RN, CRNA
• Shannon Kathleen Perry, M.S ED CCC-SLP
• Susan T. Perry
• Michael Persichilli, RDN, LDN
• Personalized Physician Care, LLC
• Personalized Retina Care of Naples
• Jairo Fernando Peruyera Manso
• Amber Pestian
• Peter James Norton MD PL

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.