Andrea Soares, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

927578

Practice address

5652 NW 106TH Ave
Coral Springs, FL 33076-2811

Phone

(754) 250-9168

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Soares Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1659090967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5652 NW 106TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762811",
            "telephone_number": "754-250-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5652 NW 106TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762811",
            "telephone_number": "754-250-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "927578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SOARES",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tashana M Smythe, PMHNP-BC
• SNH Fla Tenant LLC
• SNH Fla Tenant LLC
• Brian H Snyder, DDS
• Michelle T Snyder, DO
• Soca Imaging Inc
• Shagun Sodhi, DPT
• Laurel Anne Sofer, MD.
• Rochelle L Soffer, M.A., CCC-SLP
• Solantic of South FL, LLC

• Registered Dietitian in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.