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

Nutrition Fundamentals LLC

Organization Registered Dietitian · NPI 1083141865

Nutrition Fundamentals LLC is a Registered Dietitian 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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