Individual provider Active NPI

Krystal Amanda Rivani, RDN

  • Registered Dietitian
  • Miami Beach, FL
National Provider Identifier
1689367716
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86016116 Issued in CA
Practice address
4701 N Meridian Ave Unit 702
Miami Beach, FL 33140-2966
Phone
(626) 419-6490
NPI assigned
Jun 2, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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 86016116 CA Primary

Addresses

Primary practice location

4701 N Meridian Ave Unit 702
Miami Beach, FL 33140-2966

Mailing address

4701 N Meridian Ave Unit 702
Miami Beach, FL 33140-2966
Phone (626) 419-6490

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
86016116CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1689367716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N MERIDIAN AVE UNIT 702",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402966",
            "telephone_number": "626-419-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N MERIDIAN AVE UNIT 702",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402966",
            "telephone_number": "626-419-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVANI",
        "first_name": "KRYSTAL",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86016116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.