Individual provider Active NPI

David Guevara Parra, RDN

  • Registered Dietitian
  • Altamonte Springs, FL
National Provider Identifier
1437749421
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10203 Issued in FL
Practice address
610 Colorado PL Apt 58
Altamonte Springs, FL 32714-4519
Phone
(407) 373-3561
NPI assigned
Jan 22, 2021
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 10203 FL Primary

Addresses

Primary practice location

610 Colorado PL Apt 58
Altamonte Springs, FL 32714-4519

Mailing address

610 Colorado PL Apt 58
Altamonte Springs, FL 32714-4519
Phone (407) 373-3561

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

State licenses

LicenseStateTypeSpecialty
10203FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1437749421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 COLORADO PL APT 58",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144519",
            "telephone_number": "407-373-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COLORADO PL APT 58",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144519",
            "telephone_number": "407-373-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA PARRA",
        "first_name": "DAVID",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "10203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

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