Organization Active NPI

Vida Nutrition, LLC

  • Registered Dietitian
  • Tampa, FL
National Provider Identifier
1033569314
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
VIDA NUTRITION, LLC
Practice address
20216 Indian Rosewood Dr
Tampa, FL 33647-3485
Phone
(786) 479-4081
Fax
(786) 923-0949
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Dina M Blankenberger Garcia, RD, LDNNPI 1639413982
Title
Owner / Operator
Phone
(786) 479-4081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

20216 Indian Rosewood Dr
Tampa, FL 33647-3485

Mailing address

20216 Indian Rosewood Dr
Tampa, FL 33647-3485
Phone (786) 479-4081

Other names 1

  • Vida Nutrition and Conscious Living Doing business as

National Provider Directory

National Provider Directory

Locations

11098 Biscayne Blvd
Ste 40130
Miami, FL 33161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1033569314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20216 INDIAN ROSEWOOD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473485",
            "telephone_number": "786-479-4081",
            "fax_number": "786-923-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20216 INDIAN ROSEWOOD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473485",
            "telephone_number": "786-479-4081",
            "fax_number": "786-923-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "M BLANKENBERGER",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "786-479-4081",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Nutrition and Conscious Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.