Active NPI
Avelina Paly
- Registered Dietitian
- Ponte Vedra, FL
National Provider Identifier
1750973566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 139 Osprey Cove LN
Ponte Vedra, FL 32082-6214 - Phone
- (904) 383-4050
- NPI assigned
- Feb 4, 2021
- 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 | Primary |
Addresses
Primary practice location
139 Osprey Cove LN
Ponte Vedra, FL 32082-6214
Mailing address
139 Osprey Cove LN
Ponte Vedra, FL 32082-6214
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
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": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1750973566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 OSPREY COVE LN",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320826214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 OSPREY COVE LN",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320826214",
"telephone_number": "904-383-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALY",
"first_name": "AVELINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra, FL
- Cecilia C. Olazar, M.D.
- Sonya Marie Olsen, M.S., CCC-SLP
- Adepeju Ibironke Faboro Oshaughnessy, L.M.H.C, L.P.C.
- Alicia Ana Otero, MA; CCC-SLP
- Palm Leaf Dental
- Pamela J. Skaff DDS (Dental Design)
- Yuval Adrash Dinesh Patel, M.D.
- Patterson Behavioral Health LLC
- Devon Patterson, PHD
- Mary Catharine Penn, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.