Individual provider Active NPI

Batina Timmons, MS, RD, LD, LN

  • Registered Dietitian
  • Brandon, FL
National Provider Identifier
1265593644
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND3718 Issued in FL
Practice address
2017 Shadow Pine Dr
Brandon, FL 33511-8342
Phone
(813) 924-0676
Fax
(813) 949-3214
NPI assigned
Dec 12, 2006
Last updated
May 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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 ND3718 FL Primary

Addresses

Primary practice location

2017 Shadow Pine Dr
Brandon, FL 33511-8342

Mailing address

2017 Shadow Pine Dr
Brandon, FL 33511-8342
Phone (813) 924-0676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000640 FL Practitioner - Registered Dietitian Or Nutrition Professional 9436247723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Riverview, FL 33578
Phone (813) 624-0676

10202 Old Cone Grove Rd
Riverview, FL 33578-3721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND3718FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Nutrition Therapy LLC Dietitian, Registered CurrentSince Dec 10, 2007 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1265593644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 SHADOW PINE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118342",
            "telephone_number": "813-924-0676",
            "fax_number": "813-949-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 SHADOW PINE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118342",
            "telephone_number": "813-924-0676",
            "fax_number": "813-949-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "BATINA",
        "credential": "MS, RD, LD, LN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.