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Flex Nutrition, LLC

Dietitian, Registered in Nazareth, PA. Organization (NPI-2).

NPI number1629855804
StatusActive
Last updated in NPPESDec 13, 2023

Details

NPI
1629855804
Entity type
Organization (NPI-2)
Legal business name
Flex Nutrition, LLC
Organization subpart
No
Enumeration date
Sep 12, 2023
Certification date
Dec 13, 2023
Last updated
Dec 13, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

15 E Walnut St
Nazareth, PA 18064-2133

Phone 570-234-6885

Mailing address

7 Theresa Ln
Saylorsburg, PA 18353-9507

Phone 570-234-6885

Authorized official

Catherine Grimes
Registered Dietitian
5702346885

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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