Organization Active NPI

Blo 7 Diabetes Institute Inc

  • Diabetes Educator Registered Nurse
  • Port St. Lucie, FL
National Provider Identifier
1548756661
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
Legal business name
BLO 7 DIABETES INSTITUTE INC
Practice address
1700 SW Hillmoor Dr.
Suite 305
Port St. Lucie, FL 34952
Phone
(772) 486-3812
NPI assigned
Jul 2, 2018
Organization subpart
Yes
Parent organization
SPRX PHARMACY SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Vandana Shah
Title
Ceo
Phone
(772) 486-3812

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X Primary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X

Addresses

Primary practice location

1700 SW Hillmoor Dr.
Suite 305
Port St. Lucie, FL 34952

Mailing address

9858 Clint Moore Rd Ste C111-131
Boca Raton, FL 33496-1034
Phone (772) 486-3812

National Provider Directory

National Provider Directory

Locations

9858 Clint Moore Rd
Ste C111131
Boca Raton, FL 33496

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1548756661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD STE C111-131",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "772-486-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SW HILLMOOR DR.",
            "address_2": "SUITE 305",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "772-486-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLO 7 DIABETES INSTITUTE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRX PHARMACY SERVICES INC",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VANDANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-486-3812"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St. Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.