Dr Pat the Rd LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND4594 Issued in FL

Legal business name

DR PAT THE RD LLC

Practice address

12267 SW 251St Ter
Homestead, FL 33032-5926

Phone

(786) 234-2184

Fax

(888) 776-0842

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Jolanda Brathwaite, EDD MPH RD LDNNPI 1437405461

Title

President

Phone

(786) 234-2184

Specialties & licenses 2

Addresses

Practitioners 1

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

• Patricia Jolanda Brathwaite, EDD. MPH. RD. LDN

  • Registered Dietitian
  • Homestead, FL
  • NPI 1437405461

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1053669150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972371",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331972371",
            "telephone_number": "786-234-2184",
            "fax_number": "888-776-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12267 SW 251ST TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325926",
            "telephone_number": "786-234-2184",
            "fax_number": "888-776-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAT THE RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "BRATHWAITE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-234-2184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD MPH RD LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND4594",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P Dougherty, CRPS
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• Registered Dietitian in Homestead, FL
• Providers in Homestead, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.