Active NPI
Mackenzie McAndrew, MS, RDN, LD/N
- Registered Dietitian
- Clearwater, FL
National Provider Identifier
1679304463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 12431
- Practice address
- 1575 Budleigh St
Clearwater, FL 33756-4404 - Phone
- (727) 238-5188
- NPI assigned
- Aug 12, 2024
- Last updated
- Aug 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 12431 | FL | Primary |
Addresses
Primary practice location
1575 Budleigh St
Clearwater, FL 33756-4404
Mailing address
1575 Budleigh St
Clearwater, FL 33756-4404
Other names 1
- Ferida Rahim
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12431 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1679304463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 BUDLEIGH ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337564404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 BUDLEIGH ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337564404",
"telephone_number": "727-238-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANDREW",
"first_name": "MACKENZIE",
"credential": "MS, RDN, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "12431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FERIDA",
"last_name": "RAHIM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.