NPIMap

Organization Active NPI

Beautiful Me

  • Dietary Manager
  • Pembroke Pines, FL
National Provider Identifier
1578873006
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dietary ManagerTaxonomy code 132700000X
Legal business name
BEAUTIFUL ME
Practice address
2301 N. University Drive
Pembroke Pines, FL 33024
Phone
(954) 965-1119
Fax
(954) 965-0119
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Mr. Jude Gibbs, RN
Title
Co-Owner
Phone
(954) 965-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary ManagerGroup: 193400000X SINGLE SPECIALTY GROUP 132700000X FL Primary

Addresses

Primary practice location

2301 N. University Drive
Pembroke Pines, FL 33024

Mailing address

PO Box 823902
Pembroke, FL 33082
Phone (954) 965-1119

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1578873006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823902",
            "city": "PEMBROKE",
            "state": "FL",
            "postal_code": "33082",
            "telephone_number": "954-965-1119",
            "fax_number": "954-965-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N. UNIVERSITY DRIVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-965-1119",
            "fax_number": "954-965-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL ME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JUDE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "954-965-1119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietary Manager",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.