OrganizationActive
Corporate Wellness Nutrition LLC
NPI 1316257553 · Registered Dietitian · Bala Cynwyd, PA
Provider details
- NPI number
- 1316257553
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Brian Davidson, Executive Director(800) 484-7720
- License
- DN003782 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Phone: (800) 484-7720
Fax: (215) 628-3262
Street-level locationGet directions
Mailing address
150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Additional practice locations (1)
- 1839 Manton StreetPhiladelphia, PA 19146Phone: (215) 827-6701Fax: (800) 258-1426
Registry dates
- Enumerated
- 2010-10-20
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.