Organization Active NPI

McErrone Rd LLC

  • Registered Dietitian
  • Tampa, FL
National Provider Identifier
1710492608
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MCERRONE RD LLC
Practice address
12451 Ginger Tree St Unit 434
Tampa, FL 33637-1974
Phone
(716) 445-7288
Fax
(877) 862-1829
NPI assigned
Dec 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Michelle Lynn CerroneNPI 1679847743
Title
Registered Dietitian
Phone
(716) 445-7288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12451 Ginger Tree St Unit 434
Tampa, FL 33637-1974

Mailing address

12451 Ginger Tree St Unit 434
Tampa, FL 33637-1974
Phone (716) 445-7288

Other practice location 1

7581 E Telecom Parkway
Tampa, FL 33637
Phone (716) 445-7288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240104000137 FL Part B Supplier - Clinic/Group Practice 5496106429 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL
O20240515002464 NY Part B Supplier - Clinic/Group Practice 5496106429 Receives reassigned benefits from 1 practitioner
Practice locations: Niagara Falls, NY

National Provider Directory

National Provider Directory

Locations

4121 E Busch Blvd
Tampa, FL 33617

Practitioners & affiliated clinicians

Practitioners 1

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": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1710492608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12451 GINGER TREE ST UNIT 434",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371974",
            "telephone_number": "716-445-7288",
            "fax_number": "877-862-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12451 GINGER TREE ST UNIT 434",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371974",
            "telephone_number": "716-445-7288",
            "fax_number": "877-862-1829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7581 E Telecom Parkway",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33637",
            "country_code": "US",
            "telephone_number": "716-445-7288",
            "fax_number": "877-862-1829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCERRONE RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "CERRONE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "716-445-7288"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.