Dietitian vs. Nutritionist Explained: Roles, Credentials, and Career Paths

Published on: Jun 19, 2025

Key Takeaways

  • Registered Dietitians (RDs) are regulated healthcare professionals with accredited degrees, supervised practice, and national certification. They are the only nutrition professionals legally allowed to provide medical nutrition therapy in many U.S. states.

  • Nutritionists have a broader range of definitions and qualifications. Some hold certifications or graduate degrees, while others may use the title without formal education or credentialing, depending on state laws.

  • Education and licensing are the most significant distinctions. RDs must complete a bachelor’s or master’s degree, pass a national exam, and maintain licensure. Nutritionists may or may not need a degree.

  • Work environments differ: Dietitians often work in clinical, research, and public health settings. Nutritionists may work in wellness centers, private practice, or holistic health roles.

  • Salaries and job outlooks vary, with RDs typically earning higher median salaries due to credentialing requirements and eligibility for insurance reimbursement.

  • Prospective students interested in clinical nutrition, public health, or dietetic careers should prioritize accredited programs and understand state licensure requirements.

  • Understanding the difference between nutritionists and dietitians helps you make better-informed career or hiring decisions in healthcare, education, or wellness.

What’s the difference between a dietitian and a nutritionist, and why does it matter?

The roles of dietitian and nutritionist are commonly (albeit incorrectly) used interchangeably in our everyday lexicon. Although they both focus on diets, food, and nutrition, there are significant differences in education requirements, scope, and patient treatment. 

Understanding the differences between these roles is critical for employers because hiring incorrectly could cause serious insurance complications and jeopardize a patient’s eligibility for treatment. Misunderstanding these roles can also result in adverse consequences for aspiring professionals. A student could pursue the wrong career path, wasting time and money.

In this article, we’ll explore the difference between a dietitian and a nutritionist, debunk myths about jobs in nutrition, and help you make an informed decision about your career trajectory in one of these two in-demand disciplines.

Dietitian vs. Nutritionist: What’s the Difference?

Despite common comparisons, the roles of dietitians and nutritionists differ greatly when it comes to education, training, and clinical applications. 

A registered dietitian (RD) or a registered dietitian nutritionist (RDN) is a healthcare professional who has received specialized education in nutrition science. RDs typically hold a master’s degree from an accredited institution, complete 1,000 hours of supervised practice, and pass a national registered dietitian exam.1 To keep their credentials, RDs are required to participate in continuing education, which can include attending industry events, webinars, or training to keep their knowledge and skills fresh and current.  

In practice, RDs and RDNs are authorized to provide medical nutrition therapy in clinical, hospital, and public health settings.2 In these environments, professionals use evidence-based knowledge to help develop nutrition plans, manage complex dietary needs, and support community nutrition programs. Insurance reimbursement is possible for RDs because their positions are regulated. 

On the other hand, the role of a nutritionist is more broadly defined. To become a licensed nutritionist, individuals typically pursue certifications like Certified Nutrition Specialist (CNS) or Certified Clinical Nutritionist (CCN), which qualify them for work in wellness, fitness, or holistic healthcare environments. Because nutritionists are largely unregulated, there is room for wide specialization and scope of practice. 

In the United States, only individuals who’ve satisfied educational and professional requirements can call themselves an RD or an RDN.3 In contrast, nutritionists do not require a rigorous education to work in their field. Because of this distinction, RDs and RDNs can call themselves nutritionists, but not all nutritionists can call themselves registered dietitians.

How to Become a Dietitian or Nutritionist: Education and Credentialing

Becoming a registered dietitian or a licensed nutritionist often involves different educational and training pathways. In this section, we’ll break down the common trajectories for these two professional paths and identify their differences.

Registered dietitian education and credentialing

The journey to become a registered dietitian is often more rigorous and structured than that of a nutritionist. 

First, RDs need to obtain a bachelor’s degree in nutrition or a related field, followed by a master’s degree from a program approved by the Accreditation Council for Education in Nutrition and Dietetics (ACEND).4 Degree holders must then complete between 1,000 and 2,000 hours of supervised practice. This must be done as part of an ACEND-accredited internship or program, and can overlap with the student’s undergraduate or graduate education. Then, students must pass the Commission on Dietetic Registration (CDR)’s national exam to become an RD or RDN.5

Once they have passed the exam, the next step is to apply for a license or nutrition certification from their state to become either a Licensed Dietitian (LD) or Licensed Dietitian Nutritionist (LDN). As professionals, RDs and RDNs are required to complete continuing education throughout their careers.

Nutrition certification and education

Unlike RDs and RDNs, the education required to become a nutritionist is less stringent. Nutritionists may pursue bachelor’s degrees in subjects like nutrition, dietetics, or health science, while others may opt out of higher education.  Some states require nutritionists to be licensed, while others allow more flexibility in education and training.

One license an aspiring nutrition expert can receive is the Certified Nutrition Specialist (CNS) designation.7 To apply for this license, candidates must have completed a master’s or doctoral degree in nutrition or a related field plus 1,000 hours of supervised practice. They also need to pass a national exam and participate in continuing education to maintain their credentials. 

Aspiring nutritionists who’d prefer to bypass the extensive education and training can explore other paths in nutrition, including obtaining a certificate as a holistic nutritionist or pursuing a certification from professional organizations like the American Fitness Professionals Association (AFPA) or the National Academy of Sports Medicine (NASM). Taking this path can open a wider variety of nutrition roles and expand the scope of practice beyond the traditional clinical settings.

Dietitian and Nutritionist Scope of Practice

Dietitians and nutritionists play important roles in human health, but their scopes of practice—day-to-day responsibilities, work environments, and career outlooks—vary greatly. In this section, we’ll examine how these two careers differ.

Registered dietitian scope of practice

RDs and RDNs are legally qualified to provide medical nutrition therapy (MNT) to their patients. MNT is a regulated, evidence-based practice where nutrition counseling is the focus of treatment for medical conditions.8 As part of such a treatment plan, RDs and RDNs might perform the following:

  • Meet with patients to identify their nutritional needs.

  • Develop tailored meal plans.

  • Ensure food accessibility and food safety.

  • Monitor and evaluate the patient’s health.

RDs and RDNs often work in clinical settings, like hospitals, nursing homes, or outpatient health clinics. Because of their advanced training and education, nutrition experts are qualified to address health conditions like diabetes, heart disease, and malnutrition from diseases like eating disorders or thyroid issues. They’re often placed on healthcare teams for programs like WIC and SNAP-Ed. Their ability to treat medical conditions makes them eligible for insurance reimbursement.

Nutritionist scope of practice

Unlike dietitians who focus on addressing medical conditions, nutritionists focus more on wellness and preventative care. Nutritionists typically work in environments like public health clinics, sports and fitness settings, or holistic health centers. Nutritionists might be responsible for the following:

  • Developing community-based meal plans.

  • Leading informative workshops about nutrition and health.

  • Creating educational materials and community resources.

  • Supporting public health initiatives.

Some nutritionists might obtain professional credentials, like CNS or Certified Clinical Nutritionist (CCN), but many states do not legally recognize the title of nutritionist.

Although dietitians and nutritionists play key roles in patients’ health, they cannot prescribe medication.

Career Outlook and Salaries for Dietitians and Nutritionists

According to the U.S. Bureau of Labor Statistics (BLS), job growth for dietitians and nutritionists is expected to grow by 7% between 2021 and 2033, to offset the loss of workers who leave the occupation and to accommodate the needs of an aging population.

The average annual nutritionist and dietitian salary in 2024 was $73,850, or $35.50 per hour.10 Because of their advanced education and specialty training, dietitians may see higher average salaries, like in California, where they can exceed $80,000 per year.11 Dietitians with advanced credentials and licenses can expand their services and expertise by exploring roles in nutrition leadership, where salaries are even higher. 

Nutritionists’ salaries vary more widely due to the range of roles and settings in which they conduct business.

Dietitian and nutritionist specializations

Dietitians and nutritionists can explore a range of specializations that allow them to focus on niche areas in their field.

Dietitian specializations

  • Clinical Nutrition and Dietetics:

    Registered dietitians specializing in clinical nutrition often work in hospitals and outpatient clinics. In these settings, they focus on individual counseling and medical nutrition therapy for patients with diabetes, heart disease, eating disorders, and other ailments.

  • Public Health Nutrition:

    Dietitians may be drawn to public health environments where they can apply their expertise to help individuals who don’t have access to private or residential care.

  • Research:

    In addition to private and public practice, dietitians can participate in research initiatives to explore how nutrition factors into disease development, management, and recovery.

  • Long-Term Care:

    RDs and RDNs can also work in long-term care facilities, like nursing homes or rehabilitation facilities, where they can manage nutrition counseling for residents over time.

Nutritionist specializations

  • Public Health Nutrition:

    Like dietitians, public health nutritionists can specialize in public health nutrition, where they develop programs for communities, schools, and government agencies.

  • Holistic Nutrition:

    Holistic nutritionists treat the whole person (physical, mental, and emotional) and examine the role food plays in all aspects of a person’s life, rather than focusing only on the physical and biological elements of nutrition.

  • Sports Nutrition:

    Sports nutritionists work with athletes to develop tailored nutrition plans to help them reach their performance goals and maximize recovery after activity.

  • Wellness Programs:

    Nutrition experts can be valuable assets to wellness programs, where they can advise on weight management strategies and healthy eating through nutrition counseling.

There are areas of overlap when it comes to dietitian and nutritionist specializations. For example, both professionals can advise on healthy eating habits and nutrition counseling. Regardless of how they choose to specialize, both dietitians and nutritionists have the foundation to help individuals meet their nutritional goals.

Impact on Public Health Nutrition

Whether you’re a dietitian or nutritionist, it’s important to adhere to regulations, especially when it comes to community-wide and public health nutrition programs. 

With advanced training and credentialing, RDs are qualified to implement evidence-based interventions in areas like school meal planning and nutrition monitoring for maternal health, chronic disease prevention, and mental health. RDs also play a major role in government nutrition policy, like food security efforts and staying current on guidelines issued by the U.S. Department of Agriculture (USDA). Regulations and oversight help ensure dietitians are prepared and able to implement public health initiatives 

Nutritionists also contribute to public health nutrition through community programs that emphasize wellness education. This might include providing culturally relevant nutritional guidance, group health coaching, and workplace wellness programs that promote healthy eating habits. Nutritionists focus on preventive health, behavior change, and community engagement.

Dietitian vs. nutritionist: Which career path is right for you?

When deciding whether to pursue a path that will lead to a career as a dietitian or a nutritionist, there are many things to consider. Next, we’ll cover the considerations for each career path to help you make an informed decision.

Dietitian career path

Becoming a registered dietitian is an optimal career path for people who want to work in hospitals, clinical settings, or government programs. This career requires advanced education, such as obtaining a Bachelor of Science in Nutrition and a Master’s in Public Health (MPH). Aspiring dietitians also must complete hours of supervised practice, pass a national licensing exam, and obtain a state license, steps that aren’t always necessary to become a nutritionist. However, this advanced training translates into the potential for a higher salary compared to a nutritionist.

Nutritionist career path

A career as a nutritionist is a better option for those who’d rather work in wellness settings, fitness centers, or as part of community organizations. Credential and licensure requirements vary by state—some states require licensure while others do not. Obtaining credentials can directly impact salary opportunities and can open doors to work in more clinical settings.12

The main considerations for making this decision involve the setting you’d like to work in, the regulatory hoops you may need to jump through to get your desired position, and the time and resources you have to commit to education and training.

Frequently Asked Questions about Dietitians and Nutritionists

Here are a few answers to some common questions.

A registered dietitian is a licensed professional qualified to provide evidence-based nutrition therapy to patients in clinical settings. A nutritionist is often unlicensed and can work as a holistic nutritionist, a fitness nutritionist, or in community settings, providing more general nutrition counseling and support.

To become an RD or RDN, first, you must obtain a bachelor’s and a master’s degree. The master’s degree must be from an ACEND-accredited program. Then, you must complete a minimum of 1,000 hours of supervised practice (depending on the state in which you want to practice) and pass the Commission on Dietetic Registration (CDR) exam. Finally, you must apply for a license to practice in your state.

Most states allow only RDs, RDNs, or other licensed professionals to work in hospital settings. Nutritionists with advanced credentials may be allowed to work in hospitals, depending on the state.

Yes, all registered dietitians are nutritionists, but not all nutritionists are dietitians. The term nutritionist is general and often unregulated.

Yes, nutritionists can help clients make healthy food choices and reach their weight management goals. However, RDs are more qualified to provide evidence-based nutrition therapy, especially for patients with complex medical conditions.

Take Your Next Step

The differences between dietitians and nutritionists can be murky. Depending on the state, the requirements of each can vary, including training, licensing, and scope of practice. Both roles promote health and healthy eating to support disease prevention and help patients/clients meet nutritional goals. However, RDs must undergo considerably more education and training to qualify to work in clinical settings, and as a result, often enjoy higher salaries than nutritionists. 

Despite their differences, demand for both of these two nutrition professionals is increasing. A growing focus on public health initiatives, wellness, and supporting an aging population means the healthcare industry will need more professionals specializing in food, nutrition science, and dietetics. 

Regardless of which path you choose, a career as a dietitian or nutritionist can prove to be long and fruitful. 

To learn more about these career paths and explore education options to prepare you for these opportunities, click here.

Sources:

  1. https://medicine.wsu.edu/nutrition-exercise-physiology/dietitian-vs-nutritionist/

  2. https://www.associationfornutrition.org/wp-content/uploads/2024/04/Nutrition-Professions-Comparison-Document-04.2024.pdf  

  3. https://eatrightvt.org/page/faqs-about-dietitians-and-dietitian-nutritionists 

  4. https://www.eatrightpro.org/acend/accredited-programs/about-accredited-programs

  5. https://www.cdrnet.org/rdn

  6. https://www.nutritioned.org/state-requirements/ 

  7. https://www.theana.org/certify/become-a-cns/nutritionists-health-professionals/

  8. https://my.clevelandclinic.org/health/treatments/medical-nutrition-therapy-mnt 

  9. https://www.bls.gov/ooh/healthcare/dietitians-and-nutritionists.htm#:~:text=in%20May%202024.-,Job%20Outlook,on%20average%2C%20over%20the%20decade

  10. https://www.bls.gov/ooh/healthcare/dietitians-and-nutritionists.htm

  11. https://www.bls.gov/oes/2023/may/oes291031.htm 

  12. https://www.nutritioned.org/nutritionist-salary/

About the Authors

Reviewed by:

Katherine Paul , MPH

Katherine Paul, MPH is a senior project manager at a leading medical communications and publications organization. She supports multidisciplinary teams handling large-scale accounts, the deliverables of which improve health outcomes and patient well-being. Ms. Paul holds a Master of Public Health (MPH) degree in Health Promotion from Columbia University, Mailman School of Public Health and passed the Certified Health Education Specialist (CHES) shortly after graduation. She holds a Bachelor of Arts degree in Sociology from Dickinson College.

Ms. Paul previously worked at a public health non-profit where she managed all aspects of diverse health-related projects, including the implementation of a randomized controlled clinical trial on sexual health for teens with developmental disabilities, as well as the evaluation of a statewide tobacco cessation program with more than 20,000 annual cases. She has developed and delivered posters and presentations at national conferences including the American Public Health Association (APHA) annual meeting. 

Opinions and information published by the author here on MastersPublicHealth.com are of my own and do not necessarily represent the views or opinions of my employer or other organizations for my designated roles.

Katherine Paul

Katherine Paul , MPH

Editorial Lead

Education: Columbia University, Mailman School of Public Health