NPIMap

Organization Active NPI

Heal From Food

  • Registered Dietitian
  • Jacksonville, FL
National Provider Identifier
1265065502
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HEAL FROM FOOD
Doing business as
Heal From Food
Practice address
4300 Lakeside Dr Unit 5
Jacksonville, FL 32210-3364
Phone
(917) 306-1724
NPI assigned
Feb 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Stacy Seslowsky, RDNPI 1154805414
Title
Functional Nutrition Dietitian
Phone
(917) 306-1724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4300 Lakeside Dr Unit 5
Jacksonville, FL 32210-3364

Mailing address

4300 Lakeside Dr Unit 5
Jacksonville, FL 32210-3364
Phone (917) 306-1724

Other names 1

  • Heal From Food Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1265065502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LAKESIDE DR UNIT 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103364",
            "telephone_number": "917-306-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LAKESIDE DR UNIT 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103364",
            "telephone_number": "917-306-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL FROM FOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "SESLOWSKY",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "FUNCTIONAL NUTRITION DIETITIAN",
        "authorized_official_telephone_number": "917-306-1724",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heal From Food",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.