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

Vivid Life Nutrition, LLC

Organization Registered Dietitian · NPI 1194222109

Vivid Life Nutrition, LLC is a Registered Dietitian in High Point, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
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

1109 N Main St
High Point, NC 27262
Phone: (336) 906-7869
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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 L004256 (NC)

Record details

NPI number1194222109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anna Hallock — Owner · (336) 906-7869
NPI enumeratedApril 7, 2018
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address1109 N Main St, High Point, NC 27262-3115

Other providers in High Point