Individual provider Active NPI

Jillian Guralski, MS, RDN, LDN, CPT

  • Registered Dietitian
  • Hollywood, FL
National Provider Identifier
1457720344
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND5773 Issued in FL
Practice address
6365 Taft St
2005
Hollywood, FL 33024-5952
Phone
(920) 427-3084
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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 ND5773 FL Primary

Addresses

Primary practice location

6365 Taft St
2005
Hollywood, FL 33024-5952

Mailing address

7400 Stirling Rd
1324
Hollywood, FL 33024-1579
Phone (920) 427-3084

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND5773FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1457720344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 STIRLING RD",
            "address_2": "1324",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241579",
            "telephone_number": "920-427-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 TAFT ST",
            "address_2": "2005",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245952",
            "telephone_number": "920-427-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURALSKI",
        "first_name": "JILLIAN",
        "credential": "MS, RDN, LDN, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.