Individual provider Active NPI

Love Afonne Akobundu, MS, RD, CDN, CDE

  • Metabolic Nutrition Registered Dietitian
  • Saint Albans, NY
National Provider Identifier
1497811921
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
00711812 Issued in NY
Practice address
11102 Farmers Blvd
Saint Albans, NY 11412-2358
Phone
(718) 454-1466
Fax
(718) 454-1467
NPI assigned
Dec 29, 2006
Last updated
Mar 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X 00711812 NY Primary

Addresses

Primary practice location

11102 Farmers Blvd
Saint Albans, NY 11412-2358

Mailing address

19108 109TH Ave
Saint Albans, NY 11412-1157

Other identifiers 4

IdentifierTypeStateIssuer
0113629OtherNYHMO
371813POtherHMO
2958467OtherNYHMO
P2695132OtherNYHMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040507000692 NY Practitioner - Registered Dietitian Or Nutrition Professional 3274522081 Practice locations: Brooklyn, NY; Saint Albans, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000020NYMDMarriage & Family Therapist
00711812NYMDMetabolic Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary OBGYN Care PC Past Accepting new patients
Lovingcare Diabetes Program @ Albright Medical Nutrition, Metabolic Past Accepting new patients
Citicardiaccare P.C. Past Accepting new patients
Albright Medical Offices, PC PastSince May 7, 2006 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1497811921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19108 109TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11102 FARMERS BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122358",
            "telephone_number": "718-454-1466",
            "fax_number": "718-454-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOBUNDU",
        "first_name": "LOVE",
        "middle_name": "AFONNE",
        "credential": "MS, RD, CDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "00711812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "0113629",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "371813P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "2958467",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "P2695132",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.