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

Wellform Nutrition & Regulatory Consulting Inc

Organization Registered Dietitian · NPI 1124947056

Wellform Nutrition & Regulatory Consulting Inc provides Registered Dietitian services in Halesite, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

37 Old Town Ln
Halesite, NY 11743-2214
Phone: (631) 356-8666
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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 number1124947056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Fautas — Owner · (631) 356-8666
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address37 Old Town Ln, Halesite, NY 11743-2214

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