OrganizationActive
Tracey L O'Neill LLC
NPI 1629725312 · Registered Dietitian · Ponte Vedra Beach, FL
Provider details
- NPI number
- 1629725312
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Tracey O'Neill, Licensed Dietitian Nutritionist(904) 535-6901
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
500 Canal Rd
Ponte Vedra Beach, FL 32082-4300
Phone: (904) 535-6901
Street-level locationGet directions
Mailing address
500 Canal Rd
Ponte Vedra Beach, FL 32082-4300
Other names (DBA / former)
- Doing business as
- Longevity Functional Wellness
- Doing business as
- Longevity Functional Wellness
Additional practice locations (1)
- 1301 York Rd Ste 800Lutherville, MD 21093-6011Phone: (904) 535-6901
Registry dates
- Enumerated
- 2022-03-03
- Last updated
- 2023-04-05
- Certified
- 2023-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.