NPIMap

Organization Active NPI

The Dietitians Group of West Florida, Inc.

  • Registered Dietitian
  • Palm Harbor, FL
National Provider Identifier
1295161040
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND5272 Issued in FL
Legal business name
THE DIETITIANS GROUP OF WEST FLORIDA, INC.
Practice address
34921 US Highway 19 N Ste 340
Palm Harbor, FL 34684-1969
Phone
(727) 376-9757
Fax
(727) 245-8670
NPI assigned
Sep 24, 2013
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Cynthia L Witkowski, MPH, RD, CDE, LDNNPI 1801065149
Title
Owner/Ceo
Phone
(727) 376-9757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND5272 FL Primary

Addresses

Primary practice location

34921 US Highway 19 N Ste 340
Palm Harbor, FL 34684-1969

Mailing address

7143 State Road 54 Unit 121
New Port Richey, FL 34653-6104
Phone (727) 376-9757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131212000022 FL Part B Supplier - Clinic/Group Practice 0749417046 Receives reassigned benefits from 6 practitioners
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

2565 Enterprise Rd
Clearwater, FL 33763
Phone (727) 738-5900

7575 State Road 52
Hudson, FL 34667
Phone (727) 726-8871

6318 Rowan Rd
New Port Richey, FL 34653
Phone (727) 376-9757

7143 State Road 54
New Prt Rchy, FL 34653
Phone (727) 919-3000

1817 Cypress Brook Dr
Ste 101
Trinity, FL 34655
Phone (727) 376-9757

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1295161040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7143 STATE ROAD 54 UNIT 121",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536104",
            "telephone_number": "727-376-9757",
            "fax_number": "727-245-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34921 US HIGHWAY 19 N STE 340",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841969",
            "telephone_number": "727-376-9757",
            "fax_number": "727-245-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIETITIANS GROUP OF WEST FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "WITKOWSKI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "727-376-9757",
        "authorized_official_credential": "MPH, RD, CDE, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.