Sean K Beckley
Individual provider Active NPI Nutritionist · Greenville, OH
NPI 1962331157 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1962331157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- Practice address
- 6452 US Route 36
Greenville, OH 45331-9286 - Phone
- (937) 267-6737
- NPI assigned
- May 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Yes |
Addresses
Primary practice location
6452 US Route 36
Greenville, OH 45331-9286
Mailing address
6452 US Route 36
Greenville, OH 45331-9286
Phone (937) 267-6737
Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.