Individual provider Active NPI

Jennifer Broder Katz, RD, LD,N,CNSD

  • Registered Dietitian
  • Tampa, FL
National Provider Identifier
1821149113
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND3660 Issued in FL
Practice address
1013 Normandy Trace Rd
Tampa, FL 33602-5777
Phone
(813) 857-2520
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X ND3660 FL
Nutrition Education Nutritionist 133NN1002X ND3660 FL
Registered Dietitian 133V00000X ND3660 FL Primary
Metabolic Nutrition Registered Dietitian 133VN1006X ND3660 FL

Addresses

Primary practice location

1013 Normandy Trace Rd
Tampa, FL 33602-5777

Mailing address

1013 Normandy Trace Rd
Tampa, FL 33602-5777
Phone (813) 857-2520

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Sciences Center Inc Past Accepting new patients
Florida Cardiovascular Institute PA Past Accepting new patients

Organizations & group practices 2

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1821149113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 NORMANDY TRACE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025777",
            "telephone_number": "813-857-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 NORMANDY TRACE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025777",
            "telephone_number": "813-857-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODER KATZ",
        "first_name": "JENNIFER",
        "credential": "RD, LD,N,CNSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND3660",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "ND3660",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3660",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "FL",
            "license": "ND3660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.