Organization Active NPI

Vero Nutrition Wellness, LLC

  • Registered Dietitian
  • Hutchinson Island, FL
National Provider Identifier
1063160455
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
VERO NUTRITION WELLNESS, LLC
Practice address
2711 N Highway A1A Unit D
Hutchinson Island, FL 34949-1569
Phone
(305) 788-1714
Fax
(772) 402-3462
NPI assigned
Mar 15, 2022
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Dmitriy Novikov, RD, LD/NNPI 1508514993
Title
Registered Dietitian/Gen Manager
Phone
(305) 788-1714

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

2711 N Highway A1A Unit D
Hutchinson Island, FL 34949-1569

Mailing address

2711 N Highway A1A Unit D
Hutchinson Island, FL 34949-1569
Phone (305) 788-1714

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1063160455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N HIGHWAY A1A UNIT D",
            "city": "HUTCHINSON ISLAND",
            "state": "FL",
            "postal_code": "349491569",
            "telephone_number": "305-788-1714",
            "fax_number": "772-402-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N HIGHWAY A1A UNIT D",
            "city": "HUTCHINSON ISLAND",
            "state": "FL",
            "postal_code": "349491569",
            "telephone_number": "305-788-1714",
            "fax_number": "772-402-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO NUTRITION WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2024-04-30",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "NOVIKOV",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/GEN MANAGER",
        "authorized_official_telephone_number": "305-788-1714",
        "authorized_official_credential": "RD, LD/N"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.