Organization Active NPI

Renal Nutrition Inc

  • Renal Nutrition Registered Dietitian
  • Weston, FL
National Provider Identifier
1346298783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
ND4188 Issued in FL
Legal business name
RENAL NUTRITION INC
Practice address
3850 Falcon Ridge Cir
Weston, FL 33331-5015
Phone
(954) 389-1758
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daniel Thomas, RD/LD,NNPI 1982647210
Title
Registered Dietitian
Phone
(954) 389-1758

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
Renal Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1005X ND4188 FL Primary

Addresses

Primary practice location

3850 Falcon Ridge Cir
Weston, FL 33331-5015

Mailing address

3850 Falcon Ridge Cir
Weston, FL 33331-5015
Phone (954) 389-1758

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346298783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 FALCON RIDGE CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333315015",
            "telephone_number": "954-389-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 FALCON RIDGE CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333315015",
            "telephone_number": "954-389-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL NUTRITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "954-389-1758",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RD/LD,N"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND4188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.