Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beach Life Nutrition LLC

Organization Registered Dietitian · NPI 1053029710

Beach Life Nutrition LLC provides Registered Dietitian services in Virginia Beach, Virginia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2920 Camarillo Ln
Virginia Beach, VA 23456-1558
Phone: (904) 608-1068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1053029710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Edmonds — Rdn · (904) 608-1068
NPI enumeratedNovember 11, 2022
Last updated in NPPESNovember 11, 2022
Certification dateNovember 11, 2022
Mailing address2920 Camarillo Ln, Virginia Beach, VA 23456-1558

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