Active NPI
Brooke Sobh, MS, RD, LDN
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1235876913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 16904 Tacopa CT
Tampa, FL 33618-1135 - Phone
- (727) 514-3598
- NPI assigned
- May 16, 2022
- 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 | Primary |
Addresses
Primary practice location
16904 Tacopa CT
Tampa, FL 33618-1135
Mailing address
16904 Tacopa CT
Tampa, FL 33618-1135
Phone (727) 514-3598
Other practice location 1
6901 Simmons Loop
Riverview, FL 33578-9498
Phone (727) 514-3598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16904 Tacopa CT
Tampa, FL 33618-1135
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayshore Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1235876913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16904 TACOPA CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181135",
"telephone_number": "727-514-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16904 TACOPA CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181135",
"telephone_number": "727-514-3598"
}
],
"practiceLocations": [
{
"address_1": "6901 Simmons Loop",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335789498",
"country_code": "US",
"telephone_number": "727-514-3598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOBH",
"first_name": "BROOKE",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-16",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.