Active NPI
Caroline Andrade Matos, MPH, RDN, LDN
- Registered Dietitian
- Orlando, FL
National Provider Identifier
1750179602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 11264
- Practice address
- 776 N Orange Ave Apt 5108
Orlando, FL 32801-7320 - Phone
- (619) 665-7550
- NPI assigned
- Apr 30, 2025
- 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 | 11264 | FL | Primary |
Addresses
Primary practice location
776 N Orange Ave Apt 5108
Orlando, FL 32801-7320
Mailing address
1749 Buckeye Falls Way
Orlando, FL 32824-4355
Phone (619) 665-7550
Other practice location 1
1749 Buckeye Falls Way
Orlando, FL 32824-4355
Phone (619) 665-7550
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 |
|---|---|---|---|
| 11264 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1750179602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 BUCKEYE FALLS WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328244355",
"telephone_number": "619-665-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "776 N ORANGE AVE APT 5108",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328017320",
"telephone_number": "619-665-7550"
}
],
"practiceLocations": [
{
"address_1": "1749 Buckeye Falls Way",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328244355",
"country_code": "US",
"telephone_number": "619-665-7550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDRADE MATOS",
"first_name": "CAROLINE",
"credential": "MPH, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "11264",
"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 Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.