Active NPI
Alix B Landman, MPH RD CDCES
- Nutritionist
- Plantation, FL
National Provider Identifier
1639182348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- ND1628
- Practice address
- 7901 SW 6TH CT Ste 320
Plantation, FL 33324-3283 - Phone
- (954) 792-7303
- Fax
- (954) 792-7656
- NPI assigned
- Aug 14, 2006
- Last updated
- Apr 1, 2021
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND1628 | FL | Primary |
Addresses
Primary practice location
7901 SW 6TH CT Ste 320
Plantation, FL 33324-3283
Mailing address
10801 NW 2ND St
Plantation, FL 33324-1549
Phone (954) 792-7303
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.nutritionsmarts.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND1628 | FL | MD | Nutritionist |
Organizations & group practices 1
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.
-
- Registered Dietitian
- Plantation, FL
- NPI 1699963140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1639182348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 NW 2ND ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241549",
"telephone_number": "954-792-7303",
"fax_number": "954-792-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 SW 6TH CT STE 320",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243283",
"telephone_number": "954-792-7303",
"fax_number": "954-792-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDMAN",
"first_name": "ALIX",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "MPH RD CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND1628",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.nutritionsmarts.com",
"affiliation": "N",
"endpointDescription": "webURL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Plantation",
"address_1": "7901 SW 6th Ct Ste 320",
"city": "Plantation",
"state": "FL",
"country_code": "US",
"postal_code": "333243283",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.