OrganizationActive
Coralcrestnutrition LLC
NPI 1407793359 · Registered Dietitian · Gulf Breeze, FL
Coralcrestnutrition LLC is a Registered Dietitian organization in Gulf Breeze, FL (NPI 1407793359).
Provider details
- NPI number
- 1407793359
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Evetha Malcolm-Theriault, Registered Dietitian(850) 339-0728
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
6297 Jenks Dr
Gulf Breeze, FL 32563-9798
Phone: (850) 339-0728
Street-level locationGet directions
Mailing address
3311 Gulf Breeze Pkwy # 110
Gulf Breeze, FL 32563-3351
Registry dates
- Enumerated
- 2026-04-29
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Coralcrestnutrition LLC's NPI number?
- Coralcrestnutrition LLC's National Provider Identifier (NPI) is 1407793359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coralcrestnutrition LLC?
- Coralcrestnutrition LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Coralcrestnutrition LLC located?
- Coralcrestnutrition LLC's practice location on file with NPPES is 6297 Jenks Dr, Gulf Breeze, FL 32563-9798.
- What is Coralcrestnutrition LLC's phone number?
- The practice phone number listed in the NPPES registry for Coralcrestnutrition LLC is (850) 339-0728.
- Who is the authorized official for Coralcrestnutrition LLC?
- The authorized official listed on Coralcrestnutrition LLC's NPPES record is Evetha Malcolm-Theriault, Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coralcrestnutrition LLC's NPI active?
- Yes — Coralcrestnutrition LLC's NPI (1407793359) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.