OrganizationActive
Innovative Nutrition and Wellness Consulting, LLC
NPI 1467005504 · Registered Dietitian · Daytona Beach, FL
Provider details
- NPI number
- 1467005504
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Susan Buckley, Owner, Dietitian(386) 527-9178
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1259 S Beach St Apt 1105
Daytona Beach, FL 32114-6328
Phone: (386) 527-9178
Street-level locationGet directions
Mailing address
1259 S Beach St Apt 1105
Daytona Beach, FL 32114-6328
Registry dates
- Enumerated
- 2019-07-18
- Last updated
- 2019-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.