Active NPI
Jenna Romanelli
- Registered Dietitian
- Lighthouse Point, FL
National Provider Identifier
1740936657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND9706
- Practice address
- 4421 NE 24TH Ter
Lighthouse Point, FL 33064-7210 - Phone
- (954) 906-0301
- NPI assigned
- Mar 1, 2022
- Sex
- Female
- 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 | ND9706 | FL | Primary |
Addresses
Primary practice location
4421 NE 24TH Ter
Lighthouse Point, FL 33064-7210
Mailing address
4421 NE 24TH Ter
Lighthouse Point, FL 33064-7210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND9706 | Other | FL | DIETITIAN/NUTRITIONIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND9706 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1740936657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 NE 24TH TER",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 NE 24TH TER",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647210",
"telephone_number": "954-906-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANELLI",
"first_name": "JENNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND9706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIAN/NUTRITIONIST",
"identifier": "ND9706",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.