Individual provider Active NPI

Andrea Jill Allouche, MPH, RD,CDE, LDN

  • Registered Dietitian
  • Miami, FL
National Provider Identifier
1265452155
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND5969 Issued in FL
Practice address
1450 NW 10TH Ave
Miami, FL 33136-1011
Phone
(708) 216-9103
Fax
(708) 216-5285
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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 ND5969 FL Primary

Addresses

Primary practice location

1450 NW 10TH Ave
Miami, FL 33136-1011

Mailing address

1611 NW 12TH Ave
PO Box 016960 (M851)
Miami, FL 33136-1005
Phone (305) 243-7688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1265452155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "PO BOX 016960 (M851)",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NW 10TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361011",
            "telephone_number": "708-216-9103",
            "fax_number": "708-216-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLOUCHE",
        "first_name": "ANDREA",
        "middle_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "MPH, RD,CDE, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.