Active NPI
Tristan Soyka, RD
- Registered Dietitian
- Melbourne, FL
National Provider Identifier
1801353495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND5401
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3224 - Phone
- (321) 434-7546
- NPI assigned
- Mar 1, 2019
- Last updated
- Mar 1, 2019
- Sex
- Male
- 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 | ND5401 | FL | Primary |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3224
Mailing address
4948 Erin LN
Melbourne, FL 32940-7158
Phone (321) 215-8724
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 |
|---|---|---|---|
| ND5401 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1801353495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4948 ERIN LN",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407158",
"telephone_number": "321-215-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOYKA",
"first_name": "TRISTAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-01",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND5401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.