Individual provider Active NPI

Tiffany Virginia Gonzalez Arellano

  • Registered Dietitian
  • West Palm Beach, FL
National Provider Identifier
1003662404
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND12476 Issued in FL
Practice address
4550 Portofino Way Apt 304
West Palm Beach, FL 33409-8115
Phone
(305) 898-2017
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND12476 FL Primary

Addresses

Primary practice location

4550 Portofino Way Apt 304
West Palm Beach, FL 33409-8115

Mailing address

4550 Portofino Way Apt 304
West Palm Beach, FL 33409-8115
Phone (305) 898-2017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND12476FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Allara Medical Group PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tiffany.gonzalezarellano@335000925634564.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1003662404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 PORTOFINO WAY APT 304",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098115",
            "telephone_number": "305-898-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 PORTOFINO WAY APT 304",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098115",
            "telephone_number": "305-898-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ARELLANO",
        "first_name": "TIFFANY",
        "middle_name": "VIRGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND12476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.