Individual provider Active NPI

Catherine Clark-Reyes, RD, LD/N

  • Registered Dietitian
  • Miami, FL
National Provider Identifier
1437421575
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND0003396 Issued in FL
Practice address
6808 SW 81St St
Miami, FL 33143-7708
Phone
(305) 812-2186
Fax
(305) 812-2186
NPI assigned
Feb 6, 2012
Last updated
Feb 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X ND0003396 FL
Nutrition Education Nutritionist 133NN1002X ND0003396 FL
Registered Dietitian 133V00000X ND0003396 FL Primary
Pediatric Nutrition Registered Dietitian 133VN1004X ND0003396 FL
Renal Nutrition Registered Dietitian 133VN1005X ND0003396 FL
Metabolic Nutrition Registered Dietitian 133VN1006X ND0003396 FL

Addresses

Primary practice location

6808 SW 81St St
Miami, FL 33143-7708

Mailing address

PO Box 557083
Miami, FL 33255-7083
Phone (305) 812-2186

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND0003396FLMDPediatric Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1437421575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557083",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332557083",
            "telephone_number": "305-812-2186",
            "fax_number": "305-812-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 SW 81ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437708",
            "telephone_number": "305-812-2186",
            "fax_number": "305-812-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-REYES",
        "first_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND0003396",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "ND0003396",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND0003396",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "FL",
            "license": "ND0003396",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND0003396",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "FL",
            "license": "ND0003396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.