Organization Active NPI

Dubose & Associates Nutrition Management Company

  • Registered Dietitian
  • Sarasota, FL
National Provider Identifier
1154635621
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND2921/847957 Issued in FL
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

Updated by the provider on Jul 27, 2010

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)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133NN1002X ND2921/847957 FL
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.