Active NPI
Doris Dip, RD LD/N
- Registered Dietitian
- Doral, FL
National Provider Identifier
1154590594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 3918
- Practice address
- 6431 NW 109TH Ave
Doral, FL 33178-3704 - Phone
- (305) 898-7321
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND 3918 | FL | |
| Registered Dietitian | 133V00000X | ND 3918 | FL | Primary |
Addresses
Primary practice location
6431 NW 109TH Ave
Doral, FL 33178-3704
Mailing address
6431 NW 109TH Ave
Doral, FL 33178-3704
Phone (305) 898-7321
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND 3918 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1154590594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 NW 109TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331783704",
"telephone_number": "305-898-7321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6431 NW 109TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331783704",
"telephone_number": "305-898-7321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIP",
"first_name": "DORIS",
"name_prefix": "Ms.",
"credential": "RD LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND 3918",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 3918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.