Individual provider Active NPI

Luanne H. Howard, MS, RD, CDE, LDN

  • Registered Dietitian
  • Bradenton, FL
National Provider Identifier
1255480893
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND1008 Issued in FL
Practice address
2424 Manatee Ave W
Suite 105
Bradenton, FL 34205-4954
Phone
(941) 747-9984
Fax
(941) 794-0417
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND1008 FL Primary

Addresses

Primary practice location

2424 Manatee Ave W
Suite 105
Bradenton, FL 34205-4954

Mailing address

2424 Manatee Ave W
Suite 105
Bradenton, FL 34205-4954
Phone (941) 747-9984

Other identifiers 2

IdentifierTypeStateIssuer
811247900MedicaidFL
680226596MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000165 FL Practitioner - Registered Dietitian Or Nutrition Professional 2668648908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Tufts University School of Medicine, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2424 Manatee Ave W
Suite 105
Bradenton, FL 34205-4954
Phone (941) 747-9984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND1008FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Nutrition & Wellness, LLC Dietitian, Registered CurrentSince Oct 8, 2015 Accepting new patients

Locations

2424 Manatee Ave W
Ste 105
Bradenton, FL 34205
Phone (941) 747-9984

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1255480893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 MANATEE AVE W",
            "address_2": "SUITE 105",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054954",
            "telephone_number": "941-747-9984",
            "fax_number": "941-794-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 MANATEE AVE W",
            "address_2": "SUITE 105",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054954",
            "telephone_number": "941-747-9984",
            "fax_number": "941-794-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "LUANNE",
        "middle_name": "H.",
        "credential": "MS, RD, CDE, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND1008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811247900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680226596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.

Verify at the official NPI Registry.