Healthcare Provider Details
I. General information
NPI: 1164783130
Provider Name (Legal Business Name): NAVALEE HYLTON MS RDN/ LDN, CFSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/06/2012
Last Update Date: 12/20/2020
Certification Date: 12/20/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6 WESTMINSTER LN
BOYNTON BEACH FL
33426-7718
US
IV. Provider business mailing address
6 WESTMINSTER LN
BOYNTON BEACH FL
33426-7718
US
V. Phone/Fax
- Phone: 954-907-3030
- Fax:
- Phone: 954-907-3030
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133N00000X |
| Taxonomy | Nutritionist |
| License Number | ND5514 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | ND 5514 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1201X |
| Taxonomy | Obesity and Weight Management Nutrition Registered Dietitian |
| License Number | ND5514 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | ND 5514 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: