Individual provider Active NPI

Beth S Morlang, RD, LDN

  • Nutritionist
  • Rockledge, FL
National Provider Identifier
1255960084
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
ND4273 Issued in FL
Practice address
220 Barton Blvd Unit C-14
Rockledge, FL 32955-2742
Phone
(132) 124-1683
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4273 FL
Nutritionist 133N00000X ND4273 FL Primary

Addresses

Primary practice location

220 Barton Blvd Unit C-14
Rockledge, FL 32955-2742

Mailing address

PO Box 1137
Melbourne, FL 32902-1137
Phone (321) 952-9696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810002679 FL Practitioner - Registered Dietitian Or Nutrition Professional 7911322813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Health Alliance IncGroup PAC ID 0446201768, 50 clinicians

Practice addresses (Care Compare)

17 Silver Palm Ave
Melbourne, FL 32901-3123
Phone (321) 241-6800

5270 Babcock St NE
Suite 1
Palm Bay, FL 32905-4616
Phone (321) 241-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND4273FLMDNutritionist
4273FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Health Alliance Inc CurrentSince Mar 19, 2024 Accepting new patients
Brevard Health Alliance Inc Current Accepting new patients
Florida Kidney Physicians, LLC CurrentSince Nov 28, 2022 Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Nov 28, 2022 Accepting new patients
Brevard Health Alliance, Inc. CurrentSince Mar 19, 2024 Accepting new patients
Brevard Health Alliance Inc Past Accepting new patients

Locations

905 Pineda St
Cocoa, FL 32922

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

2120 Sarno Rd
Melbourne, FL 32935
Phone (321) 952-9696

17 Silver Palm Ave
Melbourne, FL 32901
Phone (321) 725-9041

1315 Valentine St
Melbourne, FL 32901
Phone (321) 344-7677

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

5270 Babcock St NE
Ste 1
Palm Bay, FL 32905
Phone (321) 722-5959

220 Barton Blvd
Unit C14
Rockledge, FL 32955
Phone (321) 639-5177

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

1537 N Singleton Ave
Titusville, FL 32796
Phone (321) 268-0267

2000 Commerce Dr
West Melbourne, FL 32904
Phone (321) 676-6650

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1255960084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329021137",
            "telephone_number": "321-952-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BARTON BLVD UNIT C-14",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552742",
            "telephone_number": "132-124-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORLANG",
        "first_name": "BETH",
        "middle_name": "S",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "4273",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND4273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.