Active NPI
Vickie Klimantiris, RD, LD/N
- Registered Dietitian
- Lake Worth, FL
National Provider Identifier
1386427607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND7618
- Practice address
- 4621 San Fratello Cir
Lake Worth, FL 33467-5075 - Phone
- (561) 818-1879
- NPI assigned
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND7618 | FL | Primary |
Addresses
Primary practice location
4621 San Fratello Cir
Lake Worth, FL 33467-5075
Mailing address
4621 San Fratello Cir
Lake Worth, FL 33467-5075
Phone (561) 818-1879
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 |
|---|---|---|---|
| ND7618 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1386427607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4621 SAN FRATELLO CIR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334675075",
"telephone_number": "561-818-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4621 SAN FRATELLO CIR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334675075",
"telephone_number": "561-818-1879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIMANTIRIS",
"first_name": "VICKIE",
"credential": "RD, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.