Carolyn Maria Ibrahim Pavlich, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5570 Issued in FL

Practice address

2625 Colony Drive
Dunedin, FL 34698-6510

Phone

(412) 554-9950

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Carolyn Maria Ibrahim Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1518585348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 COLONY DRIVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986510",
            "telephone_number": "412-554-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 COLONY DRIVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986510",
            "telephone_number": "412-554-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM PAVLICH",
        "first_name": "CAROLYN",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "IBRAHIM",
            "middle_name": "MARIA",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William W Huntley, MD
• Richard M Hurd, DDS
• Sarah Hutchings
• James Hyppolite Jr.
• Natalie Iafe
• Ester Ibrahim
• Daven Icao, COTA
• Alan Y Ickowitz, PSY.D.
• Rachel Ikensaa, DPT
• Infectious Disease Physicians

• Registered Dietitian in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.