Individual provider Active NPI

Christina Encarnacion, RD

  • Registered Dietitian
  • Fort Myers, FL
National Provider Identifier
1003790163
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND11459 Issued in FL
Practice address
2310 N Airport Rd
Fort Myers, FL 33907-1426
Phone
(239) 931-8401
NPI assigned
Aug 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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 ND11459 FL Primary

Addresses

Primary practice location

2310 N Airport Rd
Fort Myers, FL 33907-1426

Mailing address

3780 Old Berry PT Apt 311
Fort Myers, FL 33916-9547
Phone (321) 536-8636

Other practice location 1

14750 Hope Center Loop
Fort Myers, FL 33912-4700
Phone (239) 264-4400

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
ND11459FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1003790163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 OLD BERRY PT APT 311",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169547",
            "telephone_number": "321-536-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N AIRPORT RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071426",
            "telephone_number": "239-931-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14750 Hope Center Loop",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124700",
            "country_code": "US",
            "telephone_number": "239-264-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENCARNACION",
        "first_name": "CHRISTINA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND11459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; 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.