Enlightened Rd

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND 2941 Issued in FL

Legal business name

ENLIGHTENED RD

Practice address

6301 SW Bald Eagle Dr
Palm City, FL 34990-8865

Phone

(941) 448-9633

Fax

(866) 399-7621

NPI assigned

Jul 7, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Paulette Klostreich, RD, LD/N

Title

Manager

Phone

(941) 448-9633

Specialties & licenses 1

Addresses

Other names 1

• Paulette Weber, RD, LD/N, LLC Former legal business name

Locations

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1245469642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 SW BALD EAGLE DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908865",
            "telephone_number": "941-448-9633",
            "fax_number": "866-399-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 SW BALD EAGLE DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908865",
            "telephone_number": "941-448-9633",
            "fax_number": "866-399-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED RD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "KLOSTREICH",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-448-9633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LD/N"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paulette Weber, RD, LD/N, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashley Ebright, M.S., CCC-SLP
• Electrodiagnostics of South Florida
• Elisa Horton, LMFT, LMHC, NCC, Inc
• Alauren Marie Antone Ellenberger
• Elysium Behavioral Health Inc
• Edna Milena Enot Flores, M.S.
• Corynne Erato
• Wedjy Esperience
• Jacqueline Espinal
• Mercedes Espinosa, FNP-BC

• Registered Dietitian in Palm City, FL
• Providers in Palm City, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.