Individual provider Active NPI

Catherine Leblanc Trcalek, RD, LD/N, CDE

  • Registered Dietitian
  • Jacksonville, FL
National Provider Identifier
1659466548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND2774 Issued in FL
Practice address
3100 University Blvd S
Ste. 220
Jacksonville, FL 32216-2758
Phone
(904) 724-2043
Fax
(904) 724-2013
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ND2774 FL Primary

Addresses

Primary practice location

3100 University Blvd S
Ste. 220
Jacksonville, FL 32216-2758

Mailing address

3100 University Blvd S
Ste. 220
Jacksonville, FL 32216-2758
Phone (904) 724-2043

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659466548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S",
            "address_2": "STE. 220",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162758",
            "telephone_number": "904-724-2043",
            "fax_number": "904-724-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S",
            "address_2": "STE. 220",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162758",
            "telephone_number": "904-724-2043",
            "fax_number": "904-724-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRCALEK",
        "first_name": "CATHERINE",
        "middle_name": "LEBLANC",
        "name_prefix": "Mrs.",
        "credential": "RD, LD/N, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND2774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, 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.

Verify at the official NPI Registry.