Individual provider Active NPI

Stefanie Rivera Cuba

  • Registered Dietitian
  • Winter Park, FL
National Provider Identifier
1730604190
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND6883 Issued in FL
Practice address
1155 Louisiana Ave Ste 216
Winter Park, FL 32789-2351
Phone
(407) 960-2651
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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 ND6883 FL Primary

Addresses

Primary practice location

1155 Louisiana Ave Ste 216
Winter Park, FL 32789-2351

Mailing address

1 Financial PLZ Ste 1800
Fort Lauderdale, FL 33394-0011

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
ND6883FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1730604190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FINANCIAL PLZ STE 1800",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333940011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 LOUISIANA AVE STE 216",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892351",
            "telephone_number": "407-960-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBA",
        "first_name": "STEFANIE",
        "middle_name": "RIVERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.