Individual provider Active NPI

Alejandra Burdiles, CDM

  • Dietary Manager
  • Inverness, FL
National Provider Identifier
1033854989
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dietary ManagerTaxonomy code 132700000X
Practice address
304 S Citrus Ave
Inverness, FL 34452-4706
Phone
(786) 227-3607
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary ManagerGroup: 193400000X SINGLE SPECIALTY GROUP 132700000X Primary

Addresses

Primary practice location

304 S Citrus Ave
Inverness, FL 34452-4706

Mailing address

9 Oak Run
Ocala, FL 34472-5122
Phone (786) 227-3607

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL POINTCLICKCARE

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

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1033854989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OAK RUN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344725122",
            "telephone_number": "786-227-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S CITRUS AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524706",
            "telephone_number": "786-227-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDILES",
        "first_name": "ALEJANDRA",
        "credential": "CDM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "POINTCLICKCARE",
            "affiliation": "N",
            "address_1": "304 S Citrus Ave",
            "city": "Inverness",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344524706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.