Active NPI
Nancy Wasserman, LICENSED DIETICIAN
- Nutritionist
- New Port Richey, FL
National Provider Identifier
1366588956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- ND 3788
- Practice address
- 5640 Main St
Suite 100
New Port Richey, FL 34652-2637 - Phone
- (727) 841-4425
- Fax
- (727) 841-4222
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND 3788 | FL | Primary |
Addresses
Primary practice location
5640 Main St
Suite 100
New Port Richey, FL 34652-2637
Mailing address
5640 Main St
Suite 100
New Port Richey, FL 34652-2637
Phone (727) 841-4425
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 |
|---|---|---|---|
| ND 3788 | FL | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366588956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5640 MAIN ST",
"address_2": "SUITE 100",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346522637",
"telephone_number": "727-841-4425",
"fax_number": "727-841-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5640 MAIN ST",
"address_2": "SUITE 100",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346522637",
"telephone_number": "727-841-4425",
"fax_number": "727-841-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "NANCY",
"name_prefix": "Ms.",
"credential": "LICENSED DIETICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND 3788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.