Individual provider Active NPI

Wynna Diann Dunmyer, RD, LD/N

  • Registered Dietitian
  • Lantana, FL
National Provider Identifier
1619680543
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND3191 Issued in FL
Practice address
1250 Southwinds Dr
Lantana, FL 33462-1459
Phone
(561) 547-6800
Fax
(561) 547-6865
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND3191 FL Primary

Addresses

Primary practice location

1250 Southwinds Dr
Lantana, FL 33462-1459

Mailing address

800 Clematis St Ste 5-531
West Palm Beach, FL 33401-5107
Phone (561) 671-4036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206001994 FL Practitioner - Registered Dietitian Or Nutrition Professional 6002288792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

1250 Southwinds Dr
Lantana, FL 33462-1459
Phone (561) 547-6844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND3191FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Jan 6, 2023 Accepting new patients
Florida Department of Health CurrentSince Jan 6, 2023 Accepting new patients

Locations

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

800 Clematis St
Ste 5531
West Palm Beach, FL 33401
Phone (561) 671-4036

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1619680543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLEMATIS ST STE 5-531",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015107",
            "telephone_number": "561-671-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SOUTHWINDS DR",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621459",
            "telephone_number": "561-547-6800",
            "fax_number": "561-547-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNMYER",
        "first_name": "WYNNA",
        "middle_name": "DIANN",
        "credential": "RD, LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.