Organization Active NPI

Enhancing Lifestyles, Inc.

  • Community Health Clinic/Center
  • Tamarac, FL
National Provider Identifier
1407927684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
ND 3415 Issued in FL
Legal business name
ENHANCING LIFESTYLES, INC.
Practice address
2806 NW 48TH St
Tamarac, FL 33309-2941
Phone
(954) 816-6198
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Raquel Cordoves, RD, LDN
Title
Registeredlicensed Dietitian
Phone
(954) 816-6198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X ND 3415 FL Primary

Addresses

Primary practice location

2806 NW 48TH St
Tamarac, FL 33309-2941

Mailing address

2806 NW 48TH St
Tamarac, FL 33309-2941

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407927684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 NW 48TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333092941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 NW 48TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333092941",
            "telephone_number": "954-816-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCING LIFESTYLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDOVES",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "REGISTEREDLICENSED DIETITIAN",
        "authorized_official_telephone_number": "954-816-6198",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "ND 3415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.