Individual provider Active NPI

Wendy Ann Tauro Lombard, RD

  • Registered Dietitian
  • Zellwood, FL
National Provider Identifier
1114756749
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI1053 Issued in ME
Practice address
2667 Lake Grassmere Cir
Zellwood, FL 32798-9024
Phone
(207) 521-4252
Fax
(269) 815-5594
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 11395 FL
Registered Dietitian 133V00000X 37003139A IN
Registered Dietitian 133V00000X DI1053 ME Primary

Addresses

Primary practice location

2667 Lake Grassmere Cir
Zellwood, FL 32798-9024

Mailing address

PO Box 479
Berrien Springs, MI 49103-0479
Phone (207) 521-4252

Other practice location 1

4686 Greenfield Dr
Berrien Springs, MI 49103-9565
Phone (207) 521-4252

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
11395FLMDRegistered Dietitian
37003139AINMDRegistered Dietitian
DI1053MEMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1114756749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491030479",
            "telephone_number": "207-521-4252",
            "fax_number": "269-815-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 LAKE GRASSMERE CIR",
            "city": "ZELLWOOD",
            "state": "FL",
            "postal_code": "327989024",
            "telephone_number": "207-521-4252",
            "fax_number": "269-815-5594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4686 Greenfield Dr",
            "address_purpose": "LOCATION",
            "city": "Berrien Springs",
            "state": "MI",
            "postal_code": "491039565",
            "country_code": "US",
            "telephone_number": "207-521-4252",
            "fax_number": "269-815-5594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAURO LOMBARD",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "11395",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003139A",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zellwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.