Individual provider Active NPI

Mercedes Benadivas, RD, LDN, CLT

  • Registered Dietitian
  • Aventura, FL
National Provider Identifier
1679064349
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND8400 Issued in FL
Practice address
2811 NE 185TH St Apt 802
Aventura, FL 33180-2978
Phone
(305) 409-0943
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2018

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 ND8400 FL Primary

Addresses

Primary practice location

2811 NE 185TH St Apt 802
Aventura, FL 33180-2978

Mailing address

2811 NE 185TH St Apt 802
Aventura, FL 33180-2978
Phone (305) 409-0943

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

State licenses

LicenseStateTypeSpecialty
ND8400FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cocoa Health & Nutrition Dietitian, Registered Current Accepting new patients
Foodtrition Life LLC Dietitian, Registered Current Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Organizations & group practices 3

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1679064349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 NE 185TH ST APT 802",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802978",
            "telephone_number": "305-409-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 NE 185TH ST APT 802",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802978",
            "telephone_number": "305-409-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENADIVAS",
        "first_name": "MERCEDES",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.