Active NPI
Dubose & Associates Nutrition Management Company
- Registered Dietitian
- Sarasota, FL
National Provider Identifier
1154635621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND2921/847957
- Legal business name
- DUBOSE & ASSOCIATES NUTRITION MANAGEMENT COMPANY
- Practice address
- 5104 N Lockwood Ridge Rd
Suite 104-a
Sarasota, FL 34234-3311 - Phone
- (941) 360-0505
- Fax
- (941) 360-6767
- NPI assigned
- Jul 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katrenia M. Dubose, RD, LD/N
- Title
- Ceo/Registered Dietitian
- Phone
- (941) 376-6060
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | ND2921/847957 | FL | |
| Registered Dietitian | 133V00000X | ND2921/847957 | FL | Primary |
Addresses
Primary practice location
5104 N Lockwood Ridge Rd
Suite 104-a
Sarasota, FL 34234-3311
Mailing address
5104 N Lockwood Ridge Rd
Suite 104-a
Sarasota, FL 34234-3311
Phone (941) 360-0505
National Provider Directory
National Provider DirectoryLocations
5104 N Lockwood Ridge Rd
Ste 104A
Sarasota, FL 34234
Phone (941) 360-0505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280188800000",
"number": "1154635621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5104 N LOCKWOOD RIDGE RD",
"address_2": "SUITE 104-A",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342343311",
"telephone_number": "941-360-0505",
"fax_number": "941-360-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 N LOCKWOOD RIDGE RD",
"address_2": "SUITE 104-A",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342343311",
"telephone_number": "941-360-0505",
"fax_number": "941-360-6767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUBOSE & ASSOCIATES NUTRITION MANAGEMENT COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A",
"authorized_official_last_name": "DUBOSE",
"authorized_official_first_name": "KATRENIA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CEO/REGISTERED DIETITIAN",
"authorized_official_telephone_number": "941-376-6060",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RD, LD/N"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": "FL",
"license": "ND2921/847957",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND2921/847957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.