Active NPI
Alanna D Eubanks, RD, LD/N
- Registered Dietitian
- Macclenny, FL
National Provider Identifier
1336469832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND4861
- Practice address
- 480 W Lowder St
Macclenny, FL 32063-2664 - Phone
- (904) 259-6291
- Fax
- (904) 259-1950
- NPI assigned
- Jun 7, 2010
- Last updated
- Jun 7, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND4861 | FL | Primary |
Addresses
Primary practice location
480 W Lowder St
Macclenny, FL 32063-2664
Mailing address
480 W Lowder St
Macclenny, FL 32063-2664
Phone (904) 259-6291
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND4861 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1336469832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 W LOWDER ST",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632664",
"telephone_number": "904-259-6291",
"fax_number": "904-259-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 W LOWDER ST",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632664",
"telephone_number": "904-259-6291",
"fax_number": "904-259-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUBANKS",
"first_name": "ALANNA",
"middle_name": "D",
"credential": "RD, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND4861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macclenny, FL
- Bradley James Edwards, RN
- Tina Louise Edwards
- Elizabeth Southard, LMHC, LLC
- Cristin Ellis
- Alexandra Erbesti
- Tara Evans
- Danielle Grace Fender
- First Coast Imaging, LLC (Select Diagnostics)
- Florida Department of Children and Families (Northeast Florida State Hospital)
- Florida Department of Children and Families (NortheastFloridaStateHospitalCommunityBehavioralHealthcareServices)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.