Active NPI
John Vincent Logomarsino, PHD, RD, LD/N
- Registered Dietitian
- The Villages, FL
National Provider Identifier
1720277155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND5152
- Practice address
- 842 Maybank Loop
The Villages, FL 32162-8782 - Phone
- (352) 430-5487
- NPI assigned
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | ND5152 | FL | Primary |
Addresses
Primary practice location
842 Maybank Loop
The Villages, FL 32162-8782
Mailing address
842 Maybank Loop
The Villages, FL 32162-8782
Phone (352) 430-5487
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1720277155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 MAYBANK LOOP",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321628782",
"telephone_number": "352-430-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 MAYBANK LOOP",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321628782",
"telephone_number": "352-430-5487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGOMARSINO",
"first_name": "JOHN",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "PHD, RD, LD/N",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND5152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.