Active NPI
Heather Borders, MBA, RD, LD/N
- Registered Dietitian
- Saint Petersburg, FL
National Provider Identifier
1750733762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND7871
- Practice address
- 3026 Central Avenue
PMB 102
Saint Petersburg, FL 33712 - Phone
- (904) 250-0910
- NPI assigned
- Jul 1, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L007660 | NC | |
| Registered Dietitian | 133V00000X | DT88345 | TX | |
| Registered Dietitian | 133V00000X | 10248537 | OR | |
| Registered Dietitian | 133V00000X | ND7871 | FL | Primary |
Addresses
Primary practice location
3026 Central Avenue
PMB 102
Saint Petersburg, FL 33712
Mailing address
3026 Central Avenue
PMB 102
Saint Petersburg, FL 33712
Phone (904) 250-0910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND7871 | Other | FL | FLORIDA LICENSURE |
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
- Master of Arts, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND7871 | FL | MD | Registered Dietitian |
| L007660 | NC | MD | Registered Dietitian |
| 10248537 | OR | MD | Registered Dietitian |
| DT88345 | TX | 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": "1467331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1750733762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3026 CENTRAL AVENUE",
"address_2": "PMB 102",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "33712",
"telephone_number": "904-250-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3026 CENTRAL AVENUE",
"address_2": "PMB 102",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "33712",
"telephone_number": "904-250-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDERS",
"first_name": "HEATHER",
"name_prefix": "Mrs.",
"credential": "MBA, RD, LD/N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-01",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L007660",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT88345",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "10248537",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSURE",
"identifier": "ND7871",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.