NPIMap

Organization Active NPI

The Dysfunctional Dietitian

  • Registered Dietitian
  • Wesley Chapel, FL
National Provider Identifier
1225676414
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
THE DYSFUNCTIONAL DIETITIAN
Practice address
2229 Marsh View Dr Unit 203
Wesley Chapel, FL 33544-4718
Phone
(252) 267-6580
NPI assigned
Dec 18, 2019
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Synovia J Simons, RDNNPI 1174189534
Title
Owner
Phone
(252) 267-6580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

2229 Marsh View Dr Unit 203
Wesley Chapel, FL 33544-4718

Mailing address

2229 Marsh View Dr Unit 203
Wesley Chapel, FL 33544-4718
Phone (252) 267-6580

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address synovia@thedysfunctionaldietitian.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1225676414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 MARSH VIEW DR UNIT 203",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444718",
            "telephone_number": "252-267-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 MARSH VIEW DR UNIT 203",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444718",
            "telephone_number": "252-267-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DYSFUNCTIONAL DIETITIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "SYNOVIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-267-6580",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "synovia@thedysfunctionaldietitian.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2229 Marsh View Dr Unit 203",
            "city": "Wesley Chapel",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335444718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.