Individual provider Active NPI

Juanita O Enogieru, RD/N

  • Nutrition Education Nutritionist
  • Sunrise, FL
National Provider Identifier
1427728633
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Practice address
1560 Sawgrass Corporate Pkwy Ste 400
Sunrise, FL 33323-2855
Phone
(954) 736-6376
NPI assigned
Sep 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Registered Dietitian 133V00000X
Nutrition Education Nutritionist 133NN1002X Primary

Addresses

Primary practice location

1560 Sawgrass Corporate Pkwy Ste 400
Sunrise, FL 33323-2855

Mailing address

1560 Sawgrass Corporate Pkwy Ste 400
Sunrise, FL 33323-2855
Phone (954) 736-6376

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL na

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

Practice roles

OrganizationSpecialtyStatusNew patients
Registered Dietitians Can Dietitian, Registered Current Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Organizations & group practices 3

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": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1427728633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SAWGRASS CORPORATE PKWY STE 400",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232855",
            "telephone_number": "954-736-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SAWGRASS CORPORATE PKWY STE 400",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232855",
            "telephone_number": "954-736-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOGIERU",
        "first_name": "JUANITA",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "RD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "1560 Sawgrass Corporate Pkwy Ste 400",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333232855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.