Active NPI
Alexandra Maria Prince, RD, RDN, LD, LD/N
- Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1669263315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 11738
- Practice address
- 12185 Tabby CT
Jacksonville, FL 32218-3503 - Phone
- (305) 333-5366
- NPI assigned
- May 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 91890 | TX | |
| Registered Dietitian | 133V00000X | 11738 | FL | Primary |
Addresses
Primary practice location
12185 Tabby CT
Jacksonville, FL 32218-3503
Mailing address
12185 Tabby CT
Jacksonville, FL 32218-3503
Phone (305) 333-5366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2911 Medlin Dr
Arlington, TX 76015-2330
Phone (682) 564-2381
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91890 | TX | MD | Registered Dietitian |
| 11738 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practical Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
2911 Medlin Dr
Arlington, TX 76015
Phone (682) 564-2381
4812 Roberts St
Greenville, TX 75401
Phone (903) 455-1234
555 Republic Dr
Plano, TX 75074
Phone (512) 693-1896
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1669263315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12185 TABBY CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322183503",
"telephone_number": "305-333-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12185 TABBY CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322183503",
"telephone_number": "305-333-5366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "ALEXANDRA",
"middle_name": "MARIA",
"credential": "RD, RDN, LD, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "91890",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "11738",
"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 May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.