NPIMap

Organization Active NPI

Compass Nutrition LLC

  • Registered Dietitian
  • Port Orange, FL
National Provider Identifier
1265952568
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND6478 Issued in FL
Legal business name
COMPASS NUTRITION LLC
Practice address
840 Angelina Court
Port Orange, FL 32127
Phone
(386) 212-7314
NPI assigned
Jun 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Brittany Bolduc, RD, LDN, MFCS
Title
Owner
Phone
(386) 212-7314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND6478 FL Primary

Addresses

Primary practice location

840 Angelina Court
Port Orange, FL 32127

Mailing address

840 Angelina CT
Port Orange, FL 32127-5378
Phone (386) 212-7314

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265952568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 ANGELINA CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275378",
            "telephone_number": "386-212-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 ANGELINA COURT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-212-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOLDUC",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-212-7314",
        "authorized_official_credential": "RD, LDN, MFCS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.