Active NPI
Allison Ismodes, RD
- Registered Dietitian
- Pembroke Pines, FL
National Provider Identifier
1184401705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND12071
- Practice address
- 520 Cypress Pointe Dr E
Pembroke Pines, FL 33027-1355 - Phone
- (954) 881-9941
- NPI assigned
- Sep 8, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND12071 | FL | Primary |
Addresses
Primary practice location
520 Cypress Pointe Dr E
Pembroke Pines, FL 33027-1355
Mailing address
520 Cypress Pointe Dr E
Pembroke Pines, FL 33027-1355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND12071 | Other | FL | RD LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND12071 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1184401705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 CYPRESS POINTE DR E",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 CYPRESS POINTE DR E",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271355",
"telephone_number": "954-881-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMODES",
"first_name": "ALLISON",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND12071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD LICENSE",
"identifier": "ND12071",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.