Active NPI
Kirsten Wonn, RD/LDN
- Registered Dietitian
- Fort Lauderdale, FL
National Provider Identifier
1629180724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 3203
- Practice address
- 780 SW 24TH St
Fort Lauderdale, FL 33315-2643 - Phone
- (954) 762-3651
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND 3203 | FL | Primary |
Addresses
Primary practice location
780 SW 24TH St
Fort Lauderdale, FL 33315-2643
Mailing address
1022 SE 14TH Dr
Deerfield Beach, FL 33441-7231
Phone (954) 249-4086
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 3203 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629180724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 SE 14TH DR",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334417231",
"telephone_number": "954-249-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 SW 24TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333152643",
"telephone_number": "954-762-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONN",
"first_name": "KIRSTEN",
"credential": "RD/LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 3203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.