Beach Life Nutrition LLC
NPI 1053029710ActiveOrganization· Dietitian, Registered· Virginia Beach, VA
Dietitian, Registered in Virginia Beach, Virginia, registered in NPPES in November 2022. The authorized official on file is Jessica Edmonds, Rdn. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053029710 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2022 |
| Last updated in NPPES | Nov 11, 2022 |
| Certified by provider | Nov 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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