Active NPI
Dietitian Specialists, LLC
- Registered Dietitian
- Wellington, FL
National Provider Identifier
1477320125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- DIETITIAN SPECIALISTS, LLC
- Practice address
- 15060 Corby CT
Wellington, FL 33414-8372 - Phone
- (561) 480-3777
- NPI assigned
- Dec 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amy Goldsmith
- Title
- Owner
- Phone
- (561) 480-3777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
15060 Corby CT
Wellington, FL 33414-8372
Mailing address
15060 Corby CT
Wellington, FL 33414-8372
Phone (561) 480-3777
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1477320125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15060 CORBY CT",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148372",
"telephone_number": "561-480-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15060 CORBY CT",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148372",
"telephone_number": "561-480-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIETITIAN SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "GOLDSMITH",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-480-3777",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.