Organization
NUTRITION SOLUTIONS
Active
Organization
NUTRITION SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLILYN WORLEY MS, RDN, LD (OWNER)
(409) 454-0417
Entity
Organization
Contact information
Practice address
990 INTERSTATE 10 N, SUITE 215, BEAUMONT, TX 77702-1051
(409) 454-0417
(888) 977-1202
Mailing address
990 INTERSTATE 10 N, SUITE 215, BEAUMONT, TX 77702-1051
(888) 977-1202
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3173858
—
TX
01
—
402025
MEDICARE PTAN
TX
Enumeration date
04/20/2016
Last updated
04/20/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up