Organization Active NPI

Nutrition by Jordana LLC

  • Registered Dietitian
  • Coral Springs, FL
National Provider Identifier
1508431917
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION BY JORDANA LLC
Practice address
5531 N University Dr Ste 101
Coral Springs, FL 33067-4649
Phone
(561) 716-4495
NPI assigned
May 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Jordana Rae Tobelem, RD
Title
MGR
Phone
(561) 716-4495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

5531 N University Dr Ste 101
Coral Springs, FL 33067-4649

Mailing address

10710 Coral St
Coral Springs, FL 33076-2210
Phone (561) 716-4495

National Provider Directory

National Provider Directory

Locations

5531 N University Dr
Ste 101
Coral Springs, FL 33067
Phone (561) 716-4495

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1508431917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CORAL ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762210",
            "telephone_number": "561-716-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5531 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674649",
            "telephone_number": "561-716-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION BY JORDANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "TOBELEM",
        "authorized_official_first_name": "JORDANA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-716-4495",
        "authorized_official_credential": "RD"
    },
    "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 Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.