Individual provider Active NPI

Alexandra Maria Prince, RD, RDN, LD, LD/N

  • Registered Dietitian
  • Jacksonville, FL
National Provider Identifier
1669263315
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
11738 Issued in FL
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

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250904001236 TX Practitioner - Registered Dietitian Or Nutrition Professional 8224530878 Reassigns benefits to 1 organization

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
Practical Nutrition LLCGroup PAC ID 6406181395, 4 clinicians

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

LicenseStateTypeSpecialty
91890TXMDRegistered Dietitian
11738FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Practical Nutrition LLC Dietitian, Registered CurrentSince Aug 1, 2025 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.

Verify at the official NPI Registry.