Nutrition Kept Simple LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION KEPT SIMPLE LLC

Practice address

10413 Cardera Dr
Riverview, FL 33578-4072

Phone

(813) 549-9461

NPI assigned

Dec 30, 2021

Last updated

Dec 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joanna Ayalloore, MS RD LDNNPI 1003585134

Title

Registered Dietitian

Phone

(813) 549-9461

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanna Ayalloore, RD LDN

  • Registered Dietitian
  • Riverview, FL
  • NPI 1003585134
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1124788252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 CARDERA DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784072",
            "telephone_number": "813-549-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10413 CARDERA DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784072",
            "telephone_number": "813-549-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION KEPT SIMPLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-24",
        "status": "A",
        "authorized_official_last_name": "AYALLOORE",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "813-549-9461",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/practice_settings",
            "affiliation": "N",
            "address_1": "10413 Cardera Dr",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335784072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.