Individual provider Active NPI

Emanuela Damse

  • Registered Dietitian
  • Boynton Beach, FL
National Provider Identifier
1649670464
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND 6600 Issued in FL
Practice address
10151 Enterprise Center Blvd Ste 204
Boynton Beach, FL 33437-3761
Phone
(561) 737-9996
Fax
(561) 737-8583
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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 ND 6600 FL Primary

Addresses

Primary practice location

10151 Enterprise Center Blvd Ste 204
Boynton Beach, FL 33437-3761

Mailing address

10151 Enterprise Center Blvd Ste 204
Boynton Beach, FL 33437-3761
Phone (561) 737-9996

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

LicenseStateTypeSpecialty
ND 6600FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1649670464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BLVD STE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373761",
            "telephone_number": "561-737-9996",
            "fax_number": "561-737-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BLVD STE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373761",
            "telephone_number": "561-737-9996",
            "fax_number": "561-737-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMSE",
        "first_name": "EMANUELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 6600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.