Active NPI
Nutrilact Consulting LLC
- Registered Dietitian
- Hollywood, FL
National Provider Identifier
1316834708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRILACT CONSULTING LLC
- Practice address
- 5100 SW 41 Street, Unit 216
Hollywood, FL 33023-6988 - Phone
- (954) 513-7159
- NPI assigned
- Jun 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geromina Raphael, RD
- Title
- Owner, Registered Dietitian
- Phone
- (954) 513-7159
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Lactation Consultant (Non-RN) | 174N00000X |
Addresses
Primary practice location
5100 SW 41 Street, Unit 216
Hollywood, FL 33023-6988
Mailing address
PO Box 19187
Plantation, FL 33318-0187
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Plantation, FL
- NPI 1619603941
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750291200000",
"number": "1316834708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19187",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333180187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 SW 41 STREET, UNIT 216",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330236988",
"telephone_number": "954-513-7159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRILACT CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-19",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A",
"authorized_official_last_name": "RAPHAEL",
"authorized_official_first_name": "GEROMINA",
"authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
"authorized_official_telephone_number": "954-513-7159",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.