Bella Vita Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BELLA VITA NUTRITION

Practice address

150 South Warner Rd
King of Prussia, PA 19406

Phone

(973) 464-4264

NPI assigned

Jul 3, 2023

Organization subpart

No

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

Authorized official

Name

Jaclyn S CimilucaNPI 1073040853

Title

Sole Member

Phone

(973) 464-4264

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Jaclyn S Cimiluca I, RDN

  • Registered Dietitian
  • King of Prussia, PA
  • NPI 1073040853

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1891472619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S WARNER RD STE 130",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTH WARNER RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "973-464-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VITA NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "CIMILUCA",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "973-464-4264"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Becker, M.A. CCC-SLP
• Lauren Jennifer Becton, MD
• Leeshawnna Beggs
• Behavior Interventions, Inc
• Pattianne M Belfield, CRNP
• Rachel A Bennett, M.D.
• Melissa Bereda
• Melissa A Bergmaier, DMD
• Nicole Marie Bergoine, RD, LDN
• Christine Ann Berk, MA, LPC, LCAT

• Registered Dietitian in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.