Individual provider Active NPI

Vanessa Georgette Garcia

  • Registered Dietitian
  • Plantation, FL
National Provider Identifier
1063976942
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND8445 Issued in FL
Practice address
180 SW 84TH Ave
Plantation, FL 33324-2731
Phone
(844) 665-4827
NPI assigned
Jan 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X ND8445 FL Primary

Addresses

Primary practice location

180 SW 84TH Ave
Plantation, FL 33324-2731

Mailing address

3402 Davie Rd Apt 215
Davie, FL 33314-1623
Phone (305) 761-5231

Other practice location 1

3402 Davie Rd Apt 215
Davie, FL 33314-1623
Phone (305) 761-5231

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

State licenses

LicenseStateTypeSpecialty
ND8445FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1063976942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 DAVIE RD APT 215",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141623",
            "telephone_number": "305-761-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SW 84TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242731",
            "telephone_number": "844-665-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 Davie Rd Apt 215",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333141623",
            "country_code": "US",
            "telephone_number": "305-761-5231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "VANESSA",
        "middle_name": "GEORGETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.