Organization Active NPI

Naples Nutrition Associates LLC

  • Registered Dietitian
  • Naples, FL
National Provider Identifier
1538520291
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND2784 Issued in FL
Legal business name
NAPLES NUTRITION ASSOCIATES LLC
Practice address
4522 Executive Dr Ste 103
Naples, FL 34119-9013
Phone
(239) 231-1158
Fax
(239) 254-0341
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Mrs. Isabelle Faucher, RD LD
Title
Registered Dietitian
Phone
(954) 464-5839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X ND2784 FL Primary

Addresses

Primary practice location

4522 Executive Dr Ste 103
Naples, FL 34119-9013

Mailing address

4522 Executive Dr Ste 103
Naples, FL 34119-9013
Phone (239) 231-1158

National Provider Directory

National Provider Directory

Locations

4522 Executive Dr
Ste 103
Naples, FL 34119
Phone (239) 231-1158

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1538520291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 EXECUTIVE DR STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199013",
            "telephone_number": "239-231-1158",
            "fax_number": "239-254-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 EXECUTIVE DR STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199013",
            "telephone_number": "239-231-1158",
            "fax_number": "239-254-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES NUTRITION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "FAUCHER",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "954-464-5839",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND2784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.