Active NPI
Wendy Holifield, RD
- Registered Dietitian
- Key West, FL
National Provider Identifier
1023391307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 4080
- Practice address
- 1100 Simonton Street
Key West, FL 33040 - Phone
- (305) 293-7500
- Fax
- (305) 809-5629
- NPI assigned
- Sep 23, 2011
- Last updated
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND 4080 | FL | Primary |
Addresses
Primary practice location
1100 Simonton Street
Key West, FL 33040
Mailing address
P.O. Box 6193
Key West, FL 33041-6193
Phone (305) 809-5633
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 4080 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1023391307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6193",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330416193",
"telephone_number": "305-809-5633",
"fax_number": "305-809-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SIMONTON STREET",
"city": "KEY WEST",
"state": "FL",
"postal_code": "33040",
"telephone_number": "305-293-7500",
"fax_number": "305-809-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLIFIELD",
"first_name": "WENDY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 4080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key West, FL
- Joan Carol Eller Higgs, RN
- Kenneth Holbert Sr.
- James W Holbrook, ED.D.
- Holiday CVS LLC (CVS Pharmacy #03779)
- Holiday CVS LLC (CVS Pharmacy #01274)
- Christopher Homberg
- Denise Hoshall, CNA, CMA
- Hospice of Florida Keys Inc (Visiting Nurse Association of the Florida Keys)
- Hospice of the Florida Keys Inc (Visiting Nurse Association of the Florida Keys)
- Hospice of the Florida Keys Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.