St. Petersburg Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ST. PETERSBURG NUTRITION LLC

Practice address

3862 Central Ave Ste a
Saint Petersburg, FL 33711-1202

Phone

(727) 344-9933

NPI assigned

Sep 24, 2018

Last updated

Sep 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda FikryNPI 1679089502

Title

Manager/Registered Dietitian

Phone

(727) 344-9933

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Fikry, MS,RD,LD,EP-C

  • Metabolic Nutrition Registered Dietitian
  • St Petersburg, FL
  • NPI 1679089502
  Authorized official Same address or phone

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1255815395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3862 CENTRAL AVE STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337111202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3862 CENTRAL AVE STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337111202",
            "telephone_number": "727-344-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETERSBURG NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "FIKRY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MANAGER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "727-344-9933"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• St. Petersburg Primary Care Associates
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• Registered Dietitian in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.