Active NPI
Annmarie Duggan, MS,RD
- Renal Nutrition Registered Dietitian
- Pembroke Pines, FL
National Provider Identifier
1306343850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- ND902
- Practice address
- 18004 NW 6TH St Ste 104
Pembroke Pines, FL 33029-2823 - Phone
- (954) 885-1024
- NPI assigned
- Apr 11, 2018
- 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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | ND902 | FL | Primary |
Addresses
Primary practice location
18004 NW 6TH St Ste 104
Pembroke Pines, FL 33029-2823
Mailing address
6730 NW 34TH Ave
Fort Lauderdale, FL 33309-1227
Phone (954) 263-8954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND902 | FL | MD | Renal Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Nutrition Consultants LLC | Nutrition, Renal | Past | Accepting new patients |
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.
-
- Renal Nutrition Registered Dietitian
- Pembroke Pines, FL
- NPI 1003305053
Nutrition, Renal
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1306343850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6730 NW 34TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091227",
"telephone_number": "954-263-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18004 NW 6TH ST STE 104",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292823",
"telephone_number": "954-885-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGAN",
"first_name": "ANNMARIE",
"credential": "MS,RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-11",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "FL",
"license": "ND902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.