Monica Medina-Dobbs, X

Primary specialty

NutritionistTaxonomy code 133N00000X

License

ND10018 Issued in FL

Practice address

12443 San Jose Blvd Ste 403
Jacksonville, FL 32223-8650

Phone

(904) 413-3360

Fax

(904) 703-7839

NPI assigned

May 15, 2018

Last updated

Jan 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omega Health and Nutrition LLC

  dba The Organic Acid Clinic

  • Nutritionist
  • Jacksonville, FL
  • NPI 1134619208
  Medicare reassignment NPD Authorized official
• Emed Urgent and Primary Care Inc

  dba Emed Multispecialty Group

  • Pulmonary Disease Physician
  • Jacksonville, FL
  • NPI 1912219064
  NPD

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1598255655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N INDIGO TER",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594465",
            "telephone_number": "904-413-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12443 SAN JOSE BLVD STE 403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238650",
            "telephone_number": "904-413-3360",
            "fax_number": "904-703-7839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N Indigo Ter",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322594465",
            "country_code": "US",
            "telephone_number": "904-413-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA-DOBBS",
        "first_name": "MONICA",
        "credential": "X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND10018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicussx Spine & Joint, LLC
• Medifirst-Medifast, Inc
• Stanislava Medigovik, DPT
• Medikon LLC (Duval Pharmacy 201)
• Paula Medina Medina, MD
• Marcelle Medina-Smester
• Beth Ann Medina
• Carol Asfoura Medina, MD
• Daniela Medina
• Edgar C Medina

• Nutritionist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nutritionist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.