Seaside Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86032198 Issued in FL

Legal business name

SEASIDE NUTRITION LLC

Practice address

133 Mohegan Rd
St Augustine, FL 32086-6023

Phone

(904) 540-2503

NPI assigned

Apr 24, 2018

Last updated

Apr 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keri Bomarito, RD, LD/NNPI 1578085080

Title

Owner

Phone

(904) 540-2503

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Keri Bomarito, RD, LD/N

  • Registered Dietitian
  • Boca Raton, FL
  • NPI 1578085080
  Authorized official Same address or phone

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1306334578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320851568",
            "telephone_number": "904-540-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MOHEGAN RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866023",
            "telephone_number": "904-540-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "BOMARITO",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-540-2503",
        "authorized_official_credential": "RD, LD/N"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND7315",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "86032198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seabreeze Dental Group PLLC
• Iain Searcy
• Lorraine M Searle, CNM
• Thomas Searle, M.D.
• Seaside Family Pharmacy LLC (Seaside Family Pharmacy)
• Jennifer Seda Ramirez, M.D.
• Kayley Seda
• Sedona Enterprises
• Karen Gail Selig, L.M.F.T.
• Kirsten Nicole Senderling, DPT,PT

• Registered Dietitian in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.