Individual provider Active NPI

Alix B Landman, MPH RD CDCES

  • Nutritionist
  • Plantation, FL
National Provider Identifier
1639182348
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
ND1628 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
ND1628FLMDNutritionist

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.

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

Verify at the official NPI Registry.