Active NPI
Jill Goldblatt
- Registered Dietitian
- Boca Raton, FL
National Provider Identifier
1164824488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND5583
- Practice address
- 6263 NW 24TH St
Boca Raton, FL 33434-4314 - Phone
- (561) 866-4601
- NPI assigned
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND5583 | FL | Primary |
Addresses
Primary practice location
6263 NW 24TH St
Boca Raton, FL 33434-4314
Mailing address
6263 NW 24TH St
Boca Raton, FL 33434-4314
Phone (561) 866-4601
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1164824488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6263 NW 24TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344314",
"telephone_number": "561-866-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6263 NW 24TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344314",
"telephone_number": "561-866-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBLATT",
"first_name": "JILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND5583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
- Stephanie Goldberg
- Steven G Goldberg, DDS
- Susan C Goldberg, DPM
- Susan Sagman Goldberg, L.C.S.W.
- Phyllis Carol Goldbetter, LCSW
- Golden Age Caregivers LLC
- Golden Care Counseling Group Inc
- Golden Future Behavioral Services, Inc.
- Golden Medical Supply LLC
- Golden Orthopaedic Knee & Sports Medicine Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.