NPIMap

Organization Active NPI

Medical Dietitians LLC

  • Registered Dietitian
  • St Pete Beach, FL
National Provider Identifier
1053028415
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MEDICAL DIETITIANS LLC
Practice address
229 45TH Ave
St Pete Beach, FL 33706-2524
Phone
(181) 346-0879
NPI assigned
Nov 3, 2022
Last updated
Dec 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Marcia Of Schultz, MPH RD LDN CDCESNPI 1396021390
Title
Owner/Registered Dietitian
Phone
(813) 460-8792

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 Dietitian 133V00000X NU Primary

Addresses

Primary practice location

229 45TH Ave
St Pete Beach, FL 33706-2524

Mailing address

229 45TH Ave
St Pete Beach, FL 33706-2524
Phone (813) 460-8792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230123000535 FL Part B Supplier - Clinic/Group Practice 8820469208 Receives reassigned benefits from 5 practitioners
Practice locations: St Pete Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1053028415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 45TH AVE",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337062524",
            "telephone_number": "813-460-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 45TH AVE",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337062524",
            "telephone_number": "181-346-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIETITIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "OF",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "813-460-8792",
        "authorized_official_credential": "MPH RD LDN CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Pete Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.