Active NPI
Staci Marie El Mernissi, RD
- Registered Dietitian
- Orlando, FL
National Provider Identifier
1740213404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 5201 Raymond St
Orlando VA Medical Center
Orlando, FL 32803 - Phone
- (407) 629-1599
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
5201 Raymond St
Orlando VA Medical Center
Orlando, FL 32803
Mailing address
5201 Raymond St
Orlando VA Medical Center
Orlando, FL 32803
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1740213404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"address_2": "ORLANDO VA MEDICAL CENTER",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"address_2": "ORLANDO VA MEDICAL CENTER",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32803",
"telephone_number": "407-629-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL MERNISSI",
"first_name": "STACI",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.