Custom Nutrition, LLC
NPI 1639778509ActiveOrganization· Dietitian, Registered· Parker, CO
Dietitian, Registered in Parker, Colorado, registered in NPPES in October 2020. The authorized official on file is Christy Jean Beyerly, RDN, CDCES, Registered Dietitian Nutritionist.
Overview
| NPI | 1639778509 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2020 |
| Last updated in NPPES | Oct 21, 2020 |
| Certified by provider | Oct 18, 2020 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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