Nancy Alexidor, RDN/LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

11984 Issued in FL

Practice address

1621 SW 120TH Ave
Pembroke Pines, FL 33025-3704

Phone

(954) 945-0016

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Nancy Alexidor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1265293872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 N PINE ISLAND RD APT 1A",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516525",
            "telephone_number": "954-945-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 SW 120TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253704",
            "telephone_number": "954-945-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXIDOR",
        "first_name": "NANCY",
        "credential": "RDN/LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "11984",
            "primary": true
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "FL",
            "license": "11984",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "FL",
            "license": "11984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "ALEXIDOR",
            "prefix": "MS.",
            "credential": "NANCY ALEXIDOR RDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Ivabella Alexandre, ARNP
• Nailah Alexandre
• Kayla Alexandra Francoise Alexis
• William Alexis, M.D.
• Maria R Aleyas, MD
• Fedya Alezi
• Alberto Alfonso Jr

• Registered Dietitian in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.