Active NPI
Batina Timmons, MS, RD, LD, LN
- Registered Dietitian
- Brandon, FL
National Provider Identifier
1265593644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND3718
- 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, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND3718 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Nutrition Therapy LLC | Dietitian, Registered | Current | 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.