Maryanne Elizabeth Henderson, R.D., LD/N

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

ND3567 Issued in FL

Practice address

1520 Fletcher St
Hollywood, FL 33020-6511

Phone

(954) 401-2946

NPI assigned

Jul 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245239151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 FLETCHER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206511",
            "telephone_number": "954-923-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 FLETCHER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206511",
            "telephone_number": "954-401-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MARYANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "R.D., LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND3567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heme Onc Call
• Danyel Hen
• Leidy Marcela Henao, ARNP, PMHNP
• Henderson Behavioral Health, Inc.
• Chris Morgan Henderson, DC
• Valerie C Henke, RN, RNFA
• Bert J Henkel, DPM
• Suzanne Marie Hennessey, LCSW
• Henry Alexander Spratt MD, PA
• Henry Wodnicki, M.D., P.a.

• Renal Nutrition Registered Dietitian in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Renal Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.