NPIMap

Organization Active NPI

Nutrition Therapy of South Florida

  • Registered Dietitian
  • Miami, FL
National Provider Identifier
1124413356
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND6812 Issued in FL
Legal business name
NUTRITION THERAPY OF SOUTH FLORIDA
Practice address
13813 SW 90TH Ave
Apt. H204
Miami, FL 33176-8995
Phone
(305) 495-6883
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Joy Elizabeth Koger, R.D, L.D.NNPI 1265943484
Title
Registered Dietitian
Phone
(305) 495-6883

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 DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X ND6812 FL Primary

Addresses

Primary practice location

13813 SW 90TH Ave
Apt. H204
Miami, FL 33176-8995

Mailing address

13813 SW 90TH Ave
Apt. H204
Miami, FL 33176-8995
Phone (305) 495-6883

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1124413356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13813 SW 90TH AVE",
            "address_2": "APT. H204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768995",
            "telephone_number": "305-495-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13813 SW 90TH AVE",
            "address_2": "APT. H204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768995",
            "telephone_number": "305-495-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION THERAPY OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "KOGER",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "305-495-6883",
        "authorized_official_credential": "R.D, L.D.N"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.