Individual provider Active NPI

Christina Edenfield, RD, LD/N

  • Nutritionist
  • Saint Petersburg, FL
National Provider Identifier
1659762367
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
4595 Chancellor St NE
Apt 338
Saint Petersburg, FL 33703-4369
Phone
(727) 687-0908
NPI assigned
Feb 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

4595 Chancellor St NE
Apt 338
Saint Petersburg, FL 33703-4369

Mailing address

4595 Chancellor St NE
Apt 338
Saint Petersburg, FL 33703-4369
Phone (727) 687-0908

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1659762367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 CHANCELLOR ST NE",
            "address_2": "APT 338",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337034369",
            "telephone_number": "727-687-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 CHANCELLOR ST NE",
            "address_2": "APT 338",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337034369",
            "telephone_number": "727-687-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENFIELD",
        "first_name": "CHRISTINA",
        "credential": "RD, LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.