Emily Kathryn Incledon, RD, LDN, MS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND8208 Issued in FL

Practice address

6609 Woolbright Rd Ste 414
Boynton Beach, FL 33437-0910

Phone

(845) 489-1385

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1407377542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 GATEWAY GARDENS DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361421",
            "telephone_number": "845-489-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 WOOLBRIGHT RD STE 414",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334370910",
            "telephone_number": "845-489-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCLEDON",
        "first_name": "EMILY",
        "middle_name": "KATHRYN",
        "credential": "RD, LDN, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Daren Incledon, D.C.
• Steven Dennis Incledon, DC
• Angelo Nicholas Incorvaia, M.D.
• Jacilyn Indellicati
• Mitchell Indictor, D.D.S.

• Registered Dietitian in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.