NPIMap

Organization Active NPI

Nutri Lifestyle Inc

  • Registered Dietitian
  • Orlando, FL
National Provider Identifier
1568936722
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRI LIFESTYLE INC
Practice address
5759 Parkview Point Dr
Orlando, FL 32821-7963
Phone
(407) 729-4349
NPI assigned
Jan 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Maria Dolores Bohorquez, RD,LDN,CC
Title
President
Phone
(321) 948-2281

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Pediatric Nutrition Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133VN1004X

Addresses

Primary practice location

5759 Parkview Point Dr
Orlando, FL 32821-7963

Mailing address

5759 Parkview Point Dr
Orlando, FL 32821-7963
Phone (407) 729-4349

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1568936722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5759 PARKVIEW POINT DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328217963",
            "telephone_number": "407-729-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5759 PARKVIEW POINT DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328217963",
            "telephone_number": "407-729-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRI LIFESTYLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "BOHORQUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-948-2281",
        "authorized_official_credential": "RD,LDN,CC"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.