NPIMap

Organization Active NPI

Rd Nutrition Associates

  • Registered Dietitian
  • Pembroke Pines, FL
National Provider Identifier
1700088200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND 2716 Issued in FL
Legal business name
RD NUTRITION ASSOCIATES
Practice address
10021 Pines Blvd
Suite 104
Pembroke Pines, FL 33024-6191
Phone
(954) 447-1444
Fax
(954) 447-2815
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rosa Lourdes Becerra, RD, LDN
Title
Vice President
Phone
(954) 447-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X ND 2716 FL Primary

Addresses

Primary practice location

10021 Pines Blvd
Suite 104
Pembroke Pines, FL 33024-6191

Mailing address

10021 Pines Blvd
Suite 104
Pembroke Pines, FL 33024-6191
Phone (954) 447-1444

National Provider Directory

National Provider Directory

Locations

10021 Pines Blvd
Ste 209
Pembroke Pines, FL 33024
Phone (954) 447-1444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700088200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 PINES BLVD",
            "address_2": "SUITE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246191",
            "telephone_number": "954-447-1444",
            "fax_number": "954-447-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 PINES BLVD",
            "address_2": "SUITE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246191",
            "telephone_number": "954-447-1444",
            "fax_number": "954-447-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RD NUTRITION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-447-1444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 2716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.