Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVETHA MALCOLM-THERIAULT, RD
Active Sole ProprietorEVETHA MALCOLM-THERIAULT, RD is a Registered Dietitian healthcare provider located in GULF BREEZE, Florida. NPI 1659891521 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · GULF BREEZE, FL
Registration Details
- NPI Number
- 1659891521
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2017 (9.1306971928499 yrs)
- Last Updated
- Jan 23, 2026
- Licenses
-
DTND346 (AK)ND10329 (FL)DT92594 (TX)LD006224 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3311 GULF BREEZE PKWY # 110GULF BREEZE, FL, 325633351Browse FL providers · Browse ZIP 32563
- Phone
- 8503390728
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in GULF BREEZE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. LEIGH J WILLINGHAM | R.D. | 1033356258 |
| ROBERT MICHAEL CALVIN | MS, RD, CSSD, CSCS | 1437431087 |
| LADD HARRIS | R.D. | 1134487648 |
| CHELSEA PEITZ | RD | 1710368006 |
| JULIA VANDERGRIFT | — | 1154162543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.