Organization Active NPI

Health Nut Nutrition & Wellness Consultants PA

  • Nutrition Education Nutritionist
  • Miami, FL
National Provider Identifier
1376793893
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
ND 5394 Issued in FL
Legal business name
HEALTH NUT NUTRITION & WELLNESS CONSULTANTS PA
Practice address
11001 SW 26TH St
Miami, FL 33165-2303
Phone
(305) 490-5070
Fax
(305) 553-8563
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Melissa Maria Berrocal, RD, MSNPI 1194975615
Title
President
Phone
(305) 490-5070

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X ND 5394 FL Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X ND 5394 FL

Addresses

Primary practice location

11001 SW 26TH St
Miami, FL 33165-2303

Mailing address

11001 SW 26TH St
Miami, FL 33165-2303
Phone (305) 490-5070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100301000336 FL Part B Supplier - Clinic/Group Practice 2365587466 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

10700 SW 88th St
Ste 300
Miami, FL 33176
Phone (305) 490-4070

Practitioners & affiliated clinicians

Practitioners 4

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": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1376793893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652303",
            "telephone_number": "305-490-5070",
            "fax_number": "305-553-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652303",
            "telephone_number": "305-490-5070",
            "fax_number": "305-553-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH NUT NUTRITION & WELLNESS CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BERROCAL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-490-5070",
        "authorized_official_credential": "RD, MS"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "ND 5394",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 5394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.