Active NPI
Lorraine C. Flock, RDN, CDE
- Registered Dietitian
- Hollywood, FL
National Provider Identifier
1457730103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND2694
- Practice address
- 1715 Buchanan St
Hollywood, FL 33020-4029 - Phone
- (954) 547-7771
- NPI assigned
- May 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND2694 | FL | Primary |
Addresses
Primary practice location
1715 Buchanan St
Hollywood, FL 33020-4029
Mailing address
1715 Buchanan St
Hollywood, FL 33020-4029
Phone (954) 547-7771
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1457730103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 BUCHANAN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204029",
"telephone_number": "954-547-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 BUCHANAN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204029",
"telephone_number": "954-547-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOCK",
"first_name": "LORRAINE",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "RDN, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND2694",
"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 May 28, 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.