IndividualActive
Maryori Tello, RD, LDN, CDM, CFPP
NPI 1174247928 · Registered Dietitian · Jacksonville Beach, FL
Provider details
- NPI number
- 1174247928
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LDN, CDM, CFPP
- Sex
- Female
- Sole proprietor
- Yes
- License
- ND8502 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
850 6th Ave S Ste 300
Jacksonville Beach, FL 32250-4256
Phone: (954) 654-1139
Street-level locationGet directions
Mailing address
1103 16th Ave N
Jacksonville Beach, FL 32250-3753
Additional practice locations (1)
- 1103 16th Ave NJacksonville Beach, FL 32250-3753Phone: (954) 654-1139
Registry dates
- Enumerated
- 2022-09-26
- Last updated
- 2022-09-26
- Certified
- 2022-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.