Ariel Faulkner, RD LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5569 Issued in FL

Practice address

20020 Veterans Blvd
Suite 12
Port Charlotte, FL 33954-2112

Phone

(941) 613-1790

Fax

(941) 627-3553

NPI assigned

Nov 11, 2010

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Nutrition in Motion

  • Registered Dietitian
  • Bedford, NH
  • NPI 1548437312

  Dietitian, Registered, FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1326349002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 MANG PL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385752",
            "telephone_number": "267-825-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20020 VETERANS BLVD",
            "address_2": "SUITE 12",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542112",
            "telephone_number": "941-613-1790",
            "fax_number": "941-627-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "ARIEL",
        "credential": "RD LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "N00CC",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarra Farnham, MA, LCMHC
• Marc J Farraye, MD
• Susan Farrenkopf, ACNP
• Michael Farris, RPH
• Shaheen Faruque, MD
• Alexa Fausey
• Fawcett Imaging Port Charlotte PA
• Fawcett Medical Imaging PA
• Fawcett Memorial Hospital, Inc. (Sports Rehab Center at HCA Florida Fawcett Hospital)
• Fawcett Memorial Hospital, Inc. (HCA Florida Fawcett Hospital)

• Registered Dietitian in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.