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

Greenlyfe Nutrition, LLC

Organization Registered Dietitian · NPI 1134884893

Greenlyfe Nutrition, LLC is a Registered Dietitian in Ponte Vedra Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

312 Osprey Nest Ct
Ponte Vedra Beach, FL 32082-6283
Phone: (508) 963-8537
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1134884893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shoba Balaji — Ceo · (508) 963-8537
NPI enumeratedNovember 7, 2021
Last updated in NPPESNovember 7, 2021
Certification dateNovember 7, 2021
Mailing address312 Osprey Nest Ct, Ponte Vedra Beach, FL 32082-6283

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