Individual provider Active NPI

Aline Kassahara

  • Registered Dietitian
  • Boca Raton, FL
National Provider Identifier
1275426447
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10365 Issued in FL
Practice address
7440 San Clemente PL
Boca Raton, FL 33433-1005
Phone
(561) 299-1164
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 10365 FL Primary

Addresses

Primary practice location

7440 San Clemente PL
Boca Raton, FL 33433-1005

Mailing address

7440 San Clemente PL
Boca Raton, FL 33433-1005
Phone (561) 299-1164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729004652 FL Practitioner - Registered Dietitian Or Nutrition Professional 2062929490 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10365FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Full Precision Health PLLC Dietitian, Registered CurrentSince Jul 25, 2025 Accepting new patients

Locations

307 W 38th St
Fl 16
New York, NY 10018
Phone (332) 249-1911

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1275426447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 SAN CLEMENTE PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331005",
            "telephone_number": "561-299-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 SAN CLEMENTE PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331005",
            "telephone_number": "561-299-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAHARA",
        "first_name": "ALINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "10365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.