Betty Willis
Dietitian, Registered • St Augustine, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Betty Willis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Betty Willis was a registered Dietitian, Registered practicing in St Augustine, FL. Throughout an active medical career spanning 11 years, Betty Willis provided care at the practice location at 400 HEALTH PARK BLVD until profile deactivation on 2026-06-11.
Practice Location & Contact Primary Location
400 Health Park Blvd
St Augustine, FL 320865784
Specialty Benchmarks & Practice Insights
Comparative analytics for Dietitian, Registered in St Augustine, FL
Practicing in St Augustine, FL (3492 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 133V00000X
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dietitian, Registered
Registered Dietitian
Nutritionist
Registered Dietitian
Dietitian, Registered
RDLDN
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 11, 2026
NPI status registered as active in NPPES database
Registered at 400 HEALTH PARK BLVD, ST AUGUSTINE, FL 320865784 (Tel: 9048194404)
Registered at 400 HEALTH PARK BLVD, ST AUGUSTINE, FL 320865784 (Tel: 9048194404)
Recorded as BETTY WILLIS
Dietitian, Registered (License #ND3202 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
400 Health Park Blvd
St Augustine, FL 320865784
Phone: 9048194404
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