Individual provider Active NPI

Kelly Kremnitzer

  • Nutritionist
  • Boca Raton, FL
National Provider Identifier
1598206567
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
7335 Issued in FL
Practice address
2385 NW Executive Center Dr
Ste 100
Boca Raton, FL 33431-8579
Phone
(561) 962-2719
NPI assigned
Mar 10, 2017
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 7335 FL Primary
Registered Dietitian 133V00000X 7335 FL

Addresses

Primary practice location

2385 NW Executive Center Dr
Ste 100
Boca Raton, FL 33431-8579

Mailing address

2385 NW Executive Center Dr
Ste 100
Boca Raton, FL 33431-8579
Phone (561) 962-2719

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

LicenseStateTypeSpecialty
7335FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1598206567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 NW EXECUTIVE CENTER DR",
            "address_2": "STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318579",
            "telephone_number": "561-962-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 NW EXECUTIVE CENTER DR",
            "address_2": "STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318579",
            "telephone_number": "561-962-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMNITZER",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "7335",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "7335",
            "primary": false
        }
    ],
    "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 Mar 10, 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.

Verify at the official NPI Registry.