Foodstuff

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND7682 Issued in FL

Legal business name

FOODSTUFF

Practice address

495 Grand Blvd
Suite 206
Miramar Beach, FL 32550-1897

Phone

(770) 940-4013

Fax

(850) 361-3364

NPI assigned

Apr 5, 2016

Last updated

Apr 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Roberta Kindal Woodruff, RDN, LDNPI 1841653201

Title

Managing Officer

Phone

(770) 940-4013

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberta Kindal Woodruff, RDN, LD

  • Registered Dietitian
  • Miramar Beach, FL
  • NPI 1841653201
  Authorized official Same address or phone

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1558725630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 GRAND BLVD",
            "address_2": "SUITE 206",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501897",
            "telephone_number": "770-940-4013",
            "fax_number": "850-361-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 GRAND BLVD",
            "address_2": "SUITE 206",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501897",
            "telephone_number": "770-940-4013",
            "fax_number": "850-361-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOODSTUFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "KINDAL",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "770-940-4013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric M Scheuffler DMD MD
• Angela Lauren Everett, RBT
• Patrick A. Ferry, MD
• Megan Fielder
• FL Hud Destin, LLC (Grand Boulevard Health & Rehabilitation Center)
• Amber Fordham
• Forefront Dermatology, S.C. (Advanced Dermatology & Skin Care Centre)
• Matthew Bruce Fournier, DMD
• Alaina Fox, BCBA
• Alecia Marsha-Kaye Francis Rosa, RBT

• Registered Dietitian in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.