Seidette Monique Budyszewick, ND4684 RD/LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND4684 Issued in FL

Practice address

12522 SW 211TH Ter
Miami, FL 33177-5773

Phone

(305) 479-5822

NPI assigned

Oct 22, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1205302874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12522 SW 211TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12522 SW 211TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775773",
            "telephone_number": "305-479-5822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12522 SW 211th Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331775773",
            "country_code": "US",
            "telephone_number": "305-479-5822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDYSZEWICK",
        "first_name": "SEIDETTE",
        "middle_name": "MONIQUE",
        "credential": "ND4684 RD/LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ND4684",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Miami, FL
• Providers in Miami, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.