Active NPI
Kelsey Sanders, RD, CDE
- Registered Dietitian
- Palm Harbor, FL
National Provider Identifier
1063884963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND7562
- Practice address
- 34921 US Highway 19 N
Palm Harbor, FL 34684-1969 - Phone
- (727) 376-9757
- NPI assigned
- Oct 30, 2015
- Last updated
- Sep 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT84078 | TX | |
| Registered Dietitian | 133V00000X | ND7562 | FL | Primary |
Addresses
Primary practice location
34921 US Highway 19 N
Palm Harbor, FL 34684-1969
Mailing address
34921 US Highway 19 N
Palm Harbor, FL 34684-1969
Other practice location 1
5 Tampa General Cir
Tampa, FL 33606-3601
Phone (813) 844-7473
Other practice location 2
15310 Amberly Dr Ste 250
Tampa, FL 33647-1642
Phone (813) 995-7497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND7562 | Other | FL | DIETITIAN LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT84078 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1063884963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34921 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34921 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841969",
"telephone_number": "727-376-9757"
}
],
"practiceLocations": [
{
"address_1": "5 Tampa General Cir",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063601",
"country_code": "US",
"telephone_number": "813-844-7473",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15310 Amberly Dr Ste 250",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336471642",
"country_code": "US",
"telephone_number": "813-995-7497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "KELSEY",
"credential": "RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-30",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT84078",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIAN LICENSE",
"identifier": "ND7562",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.