Organization Active NPI

Changge LLC

  • Registered Dietitian
  • Miami, FL
National Provider Identifier
1578071148
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND6712 Issued in FL
Legal business name
CHANGGE LLC
Practice address
2648 SW 29TH CT
Miami, FL 33133-3036
Phone
(305) 542-7433
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Maria De Los Angeles Montoya, RD, LDN
Title
Manager
Phone
(305) 542-7433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X ND6712 FL
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X ND6712 FL Primary

Addresses

Primary practice location

2648 SW 29TH CT
Miami, FL 33133-3036

Mailing address

2648 SW 29TH CT
Miami, FL 33133-3036
Phone (305) 542-7433

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1578071148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 SW 29TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333036",
            "telephone_number": "305-542-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 SW 29TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333036",
            "telephone_number": "305-542-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DE LOS ANGELES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-542-7433",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND6712",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.