Kea Schwarz Functional Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KEA SCHWARZ FUNCTIONAL NUTRITION

Practice address

2913 Hunters Hill E
Jacksonville, FL 32246-3819

Phone

(305) 332-4148

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Kea M Schwarz, RD, LDNNPI 1821684697

Title

Ceo

Phone

(305) 332-4148

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kea M Schwarz, RD

  • Registered Dietitian
  • Jacksonville, FL
  • NPI 1821684697

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1114516119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 HUNTERS HILL E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463819",
            "telephone_number": "305-332-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 HUNTERS HILL E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463819",
            "telephone_number": "305-332-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEA SCHWARZ FUNCTIONAL NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "KEA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-332-4148",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amogelang Marylin Keakopa, ARNP
• Sara Keane-Jordan, M.A., BCBA
• Elizabeth J. Keane, PAC
• Alison Kearley
• Daejah Monise Kearse

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.