Betty Phanord

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND12796 Issued in FL

Practice address

3601 Federal Hwy
Miami, FL 33137-3795

Phone

(305) 576-6611

NPI assigned

Feb 1, 2024

Last updated

Feb 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Borinquen Health Care Center, Inc.

  dba Borinquen Medical Centers

  • Community Health Clinic/Center
  • Miami, FL
  • NPI 1245643709
  NPD
• Borinquen Health Care Center, Inc.

  dba Borinquen Medical Centers - Carrie Meek

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1386949998
  NPD
• Borinquen Health Care Center, Inc.

  dba Borinquen Medical Centers - Main Site

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1407913338
  NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1235992389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-576-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-576-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANORD",
        "first_name": "BETTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND12796",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND12796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quynh Phan
• Alice Phang
• Stephany Phang
• Marie C Phanor
• Phanord & Associates PA
• Kevin Roger Phanord, DMD
• Kyle Joseph Phanord, DMD
• Roger Joseph Phanord, D.M.D.
• Phar One Inc
• Pharm Med Enterprise

• 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 Feb 1, 2024; 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.