Active NPI
Rossie E Bonefont, MPH, RD,LND
- Registered Dietitian
- Orlando, FL
National Provider Identifier
1609014109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 706357
- Practice address
- 2285 S Semoran Blvd
Orlando, FL 32822-2703 - Phone
- (407) 282-8200
- Fax
- (407) 728-2801
- NPI assigned
- Jan 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 5178 | FL | |
| Nutritionist | 133N00000X | 818 | PR | |
| Registered Dietitian | 133V00000X | 706357 | IL | Primary |
Addresses
Primary practice location
2285 S Semoran Blvd
Orlando, FL 32822-2703
Mailing address
PO Box 616788
Orlando, FL 32861-6788
Phone (407) 447-7105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND5178 | Other | FL | NUTRICIONIST LICENSE |
| 706357 | Other | FL | DIETICIAN CERTIFICATE |
Other names 1
- Rossie E Rivera
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 |
|---|---|---|---|
| 818 | PR | MD | General Practice Dentistry |
| 5178 | FL | MD | Nutritionist |
| 706357 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1609014109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 616788",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328616788",
"telephone_number": "407-447-7105",
"fax_number": "407-770-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 S SEMORAN BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328222703",
"telephone_number": "407-282-8200",
"fax_number": "407-728-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONEFONT",
"first_name": "ROSSIE",
"middle_name": "E",
"credential": "MPH, RD,LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-22",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "5178",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "818",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "706357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NUTRICIONIST LICENSE",
"identifier": "ND5178",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETICIAN CERTIFICATE",
"identifier": "706357",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROSSIE",
"last_name": "RIVERA",
"middle_name": "E",
"credential": "MPH, RD,LND",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.