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

Nutrition Fundamentals LLC

Organization Registered Dietitian · NPI 1083141865

Nutrition Fundamentals LLC provides Registered Dietitian services in Justin, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
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

204 N Jackson Ave
Justin, TX 76247-9582
Phone: (208) 739-5781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86052742 (TX)

Record details

NPI number1083141865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsie Lewis — Owner · (208) 739-5781
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017
Mailing address1200 E Lamar Blvd Apt 142, Arlington, TX 76011-4222

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