| Beach Life Nutrition Llc | |
|
2920 Camarillo Ln, Virginia Beach, VA 23456-1558 | |
| (904) 608-1068 | |
| Not Available |
| Full Name | Beach Life Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2920 Camarillo Ln, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053029710 | NPI | - | NPPES |
| 818706 | Other | CDR REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Jessica Edmonds |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043928864 PECOS PAC ID: 2365813557 Enrollment ID: I20230126003198 |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Life Nutrition Llc 2920 Camarillo Ln, Virginia Beach, VA 23456-1558 Ph: () - | Beach Life Nutrition Llc 2920 Camarillo Ln, Virginia Beach, VA 23456-1558 Ph: (904) 608-1068 |
Michelle Lee Hornsby, MS RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 216 57th St Apt B, Virginia Beach, VA 23451 Phone: 540-560-4772 | |
Mrs. Sally Stephens Logan, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1732 Buckley Arch, Virginia Beach, VA 23453 Phone: 757-430-8256 | |
Sabrina Cullison, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1079 Independence Blvd, Virginia Beach, VA 23455 Phone: 757-749-0125 | |
Brittany Sharp Bailey, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5757 Accomac Sq, Virginia Beach, VA 23455 Phone: 931-797-5498 Fax: 183-345-6912 | |
Brianna Frutchey, RD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 848 First Colonial Rd Ste B, Virginia Beach, VA 23451 Phone: 757-422-4728 | |
Hailey Beaudry, PA-C, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1550 Tomcat Blvd, Virginia Beach, VA 23460 Phone: 757-953-9915 | |
Jessica Lynn Edmonds, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 2920 Camarillo Ln, Virginia Beach, VA 23456 Phone: 904-608-1068 |