Active NPI
Keri Bomarito, RD, LD/N
- Registered Dietitian
- Boca Raton, FL
National Provider Identifier
1578085080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86032198
- Practice address
- 7100 W Camino Real Ste 401
Boca Raton, FL 33433-5510 - Phone
- (786) 543-1044
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND7315 | FL | |
| Registered Dietitian | 133V00000X | 86032198 | FL | Primary |
Addresses
Primary practice location
7100 W Camino Real Ste 401
Boca Raton, FL 33433-5510
Mailing address
528 SE 13TH Ave
Deerfield Beach, FL 33441-4949
Phone (904) 540-2503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86032198 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500249600000",
"number": "1578085080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 SE 13TH AVE",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334414949",
"telephone_number": "904-540-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W CAMINO REAL STE 401",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335510",
"telephone_number": "786-543-1044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMARITO",
"first_name": "KERI",
"credential": "RD, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2017-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND7315",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "86032198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.