IndividualActive
Shelly Edens, R.D., C.S.O., L.D.N.
NPI 1093139677 · Registered Dietitian · Palm Coast, FL
Provider details
- NPI number
- 1093139677
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D., C.S.O., L.D.N.
- Sex
- Female
- Sole proprietor
- Yes
- License
- ND 5449 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
60 Memorial Medical Pkwy
Food and Nutrition Department
Palm Coast, FL 32164-5980
Phone: (386) 586-4320
Street-level locationGet directions
Mailing address
8539 Gate Pkwy W
Jacksonville, FL 32216-1019
Registry dates
- Enumerated
- 2014-02-18
- Last updated
- 2014-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.