Active NPI
Inutrition4U LLC
- Registered Dietitian
- Boca Raton, FL
National Provider Identifier
1336960327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- INUTRITION4U LLC
- Practice address
- 9596 Lake Serena Dr
Boca Raton, FL 33496-6517 - Phone
- (954) 415-0142
- Fax
- (561) 717-2026
- NPI assigned
- Oct 22, 2024
- Last updated
- Dec 3, 2024
- 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
- Shadia Hamadeh, MS,RDN,LDN,CLC
- Title
- Ceo
- Phone
- (954) 415-0142
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary | |
| Renal Nutrition Registered Dietitian | 133VN1005X | NU | ||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | NU | ||
| Gerontological Nutrition Registered Dietitian | 133VN1101X | NU | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | NU |
Addresses
Primary practice location
9596 Lake Serena Dr
Boca Raton, FL 33496-6517
Mailing address
9596 Lake Serena Dr
Boca Raton, FL 33496-6517
Phone (954) 415-0142
Other names 1
- INutrition4U
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Boca Raton, FL
- NPI 1902443187
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1336960327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9596 LAKE SERENA DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334966517",
"telephone_number": "954-415-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9596 LAKE SERENA DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334966517",
"telephone_number": "954-415-0142",
"fax_number": "561-717-2026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INUTRITION4U LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-22",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "HAMADEH",
"authorized_official_first_name": "SHADIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-415-0142",
"authorized_official_credential": "MS,RDN,LDN,CLC"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133VN1101X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "INutrition4U",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "INutrition4U",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Boca Raton, FL
- Interventional Rehabilitation of South Florida, Inc
- Interventional Rehabilitation of South Florida, Inc
- Interventional Rehabilitation of South Florida, Inc.
- Laurie E Intondi, LCSW
- Intrinsic Occupational Therapy
- Karen Inzirillo, APRN
- Sonia Ioannides, LMHPC
- Nicole Iodice, LCSW
- Zurab Akakievich Iosava, SA-C
- Ira Berman OD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.