Active NPI
Doreen Rodo, R.D.
- Registered Dietitian
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND7523
- Practice address
- 5317 4TH Ave Circle East
Bradenton, FL 34208-5623 - Phone
- (941) 254-4957
- Fax
- (941) 254-4958
- NPI assigned
- Aug 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000721 | CT | |
| Registered Dietitian | 133V00000X | ND7523 | FL | Primary |
Addresses
Primary practice location
5317 4TH Ave Circle East
Bradenton, FL 34208-5623
Mailing address
PO Box 637801
Att: Ipm Credentialing
Cincinnati, OH 45263-7801
Phone (775) 356-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND7523 | FL | MD | Registered Dietitian |
| 000721 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Manatee Specialty Physician Alliance, LLC | Past | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
515 S Flower St
#1015
Los Angeles, CA 90071
401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940
317 E Capitol St
Ste 200
Jackson, MS 39201
Phone (317) 510-0758
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
1806 Highway 35
Ste 203A
Oakhurst, NJ 07755
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Bradenton, FL
- NPI 1881304624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1386835973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637801",
"address_2": "ATT: IPM CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637801",
"telephone_number": "775-356-9393",
"fax_number": "775-356-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5317 4TH AVE CIRCLE EAST",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342085623",
"telephone_number": "941-254-4957",
"fax_number": "941-254-4958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODO",
"first_name": "DOREEN",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000721",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.