Corporate Wellness Nutrition LLC
NPI 1316257553ActiveOrganization· Dietitian, Registered· Bala Cynwyd, PA
Dietitian, Registered in Bala Cynwyd, Pennsylvania, registered in NPPES in October 2010. The authorized official on file is Brian Davidson, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316257553 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2010 |
| Last updated in NPPES | Oct 1, 2025 |
| Certified by provider | Oct 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DN003782 | PA |
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 (PA) |
|---|
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All 45 registered dietitians in Bala Cynwyd · All registered dietitians in Pennsylvania