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

Beach Life Nutrition LLC

Organization Registered Dietitian · NPI 1053029710

Beach Life Nutrition LLC is a Registered Dietitian 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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