Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Fustos, MS, RDN, CSP, LD

Individual provider Registered Dietitian · NPI 1942078274

Kristen Fustos, MS, RDN, CSP, LD is a Registered Dietitian in Tampa, Florida. Licensed in Florida, Illinois, Tennessee and Texas and 1 more. Registered with an NPI since 2023.

Licensed in
FL, IL, TN, TX, WI
In the registry since
2023
Specialties on file
6
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

11274 W Hillsborough Ave
Tampa, FL 33635-9762
Phone: (813) 590-7565
Fax: (813) 219-8055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence 86118144 (FL)
Registered Dietitian Taxonomy 133V00000X · Licence 6210-29 (WI)
Nutritionist Taxonomy 133N00000X · Licence ND9388 (FL)
Registered Dietitian Taxonomy 133V00000X · Licence DT89444 (TX)
Registered Dietitian Taxonomy 133V00000X · Licence 5294 (TN)
Registered Dietitian Taxonomy 133V00000X · Licence 164.010167 (IL)

Record details

NPI number1942078274
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , CSP , LD
Sole proprietorNo
NPI enumeratedDecember 15, 2023
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

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