Organization Active NPI

XP Sports International

Doing business as Your Diabetes Insider

  • Registered Dietitian
  • Tampa, FL
National Provider Identifier
1336779123
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
XP SPORTS INTERNATIONAL
Doing business as
Your Diabetes Insider
Practice address
1209 E Cumberland Ave Unit 604
Tampa, FL 33602-4257
Phone
(262) 302-6476
Fax
(813) 491-1464
NPI assigned
Jan 21, 2020
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Benjamin Tzeel, MPH, RD, LDN, CSCSNPI 1821568692
Title
Founder
Phone
(262) 302-6476

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

1209 E Cumberland Ave Unit 604
Tampa, FL 33602-4257

Mailing address

15319 Wind Whisper Dr
Odessa, FL 33556-1794

Other identifiers 2

IdentifierTypeStateIssuer
ND-9009OtherFLFLORIDA LICENSED DIETITIAN
86153304OtherFLACADEMY OF NUTRITION AND DIETETICS

Other names 1

  • Your Diabetes Insider Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200423001681 FL Part B Supplier - Clinic/Group Practice 5294165734 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Garden, FL; Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1336779123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15319 WIND WHISPER DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E CUMBERLAND AVE UNIT 604",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024257",
            "telephone_number": "262-302-6476",
            "fax_number": "813-491-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XP SPORTS INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "TZEEL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "262-302-6476",
        "authorized_official_credential": "MPH, RD, LDN, CSCS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSED DIETITIAN",
            "identifier": "ND-9009",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "86153304",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Diabetes Insider",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Diabetes Insider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.