Individual provider Active NPI

Sierra Dawn James, RD, LDN

  • Registered Dietitian
  • Atlantic Beach, FL
National Provider Identifier
1477217859
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND7110 Issued in FL
Practice address
2143 Fairway Villas LN S
Atlantic Beach, FL 32233-4421
Phone
(352) 215-0117
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ND7110FLMDRegistered Dietitian

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND7110 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2143 Fairway Villas LN S
Atlantic Beach, FL 32233-4421

Mailing address

2143 Fairway Villas LN S
Atlantic Beach, FL 32233-4421
Phone (352) 215-0117

Other names 1

NPPES NPI Registry
  • Miss Sierra Dawn Fonorow Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2021.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1477217859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 FAIRWAY VILLAS LN S",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322334421",
            "telephone_number": "352-215-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 FAIRWAY VILLAS LN S",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322334421",
            "telephone_number": "352-215-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "SIERRA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIERRA",
            "last_name": "FONOROW",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlantic Beach, FL

Sources for this page

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