Individual provider Active NPI

Brenda Fikry, MS,RD,LD,EP-C

  • Metabolic Nutrition Registered Dietitian
  • Saint Petersburg, FL
National Provider Identifier
1679089502
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
Practice address
3862 Central Ave Ste a
Saint Petersburg, FL 33711-1202
Phone
(727) 344-9933
NPI assigned
Dec 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X Primary

Addresses

Primary practice location

3862 Central Ave Ste a
Saint Petersburg, FL 33711-1202

Mailing address

642 11TH Ave S
Saint Petersburg, FL 33701-5107
Phone (315) 525-8784

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1679089502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 11TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337015107",
            "telephone_number": "315-525-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3862 CENTRAL AVE STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337111202",
            "telephone_number": "727-344-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKRY",
        "first_name": "BRENDA",
        "credential": "MS,RD,LD,EP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "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 Apr 9, 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.