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

Evetha Malcolm-Theriault, RD

Individual provider Registered Dietitian · NPI 1659891521

Evetha Malcolm-Theriault, RD is a Registered Dietitian in Gulf Breeze, Florida. Practices as a sole proprietor. Licensed in Alaska, Florida, Georgia and Texas.

Licensed in
AK, FL, GA, TX
In the registry since
2017
Specialties on file
4
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

3311 Gulf Breeze Pkwy # 110
Gulf Breeze, FL 32563-3351
Phone: (850) 339-0728
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence ND10329 (FL)
Registered Dietitian Taxonomy 133V00000X · Licence DTND346 (AK)
Registered Dietitian Taxonomy 133V00000X · Licence DT92594 (TX)
Registered Dietitian Taxonomy 133V00000X · Licence LD006224 (GA)

Record details

NPI number1659891521
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJune 22, 2017
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address3311 Gulf Breeze Pkwy # 110, Gulf Breeze, FL 32563-3351

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