Organization Active NPI

Inutrition4U LLC

  • Registered Dietitian
  • Boca Raton, FL
National Provider Identifier
1336960327
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Shadia Hamadeh, MS,RDN,LDN,CLCNPI 1902443187
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)CodeLicenseStatePrimary
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 Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203000360 FL Part B Supplier - Clinic/Group Practice 3870028699 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.