Active NPI
Mamta Rao
- Registered Dietitian
- Windermere, FL
National Provider Identifier
1821514092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 864035
- Practice address
- 6630 Crestmont Glen LN
Windermere, FL 34786-6408 - Phone
- (407) 325-9320
- NPI assigned
- Aug 18, 2017
- Last updated
- May 19, 2025
- Sex
- Female
- 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 | 864035 | LA | Primary |
Addresses
Primary practice location
6630 Crestmont Glen LN
Windermere, FL 34786-6408
Mailing address
6630 Crestmont Glen LN
Windermere, FL 34786-6408
Phone (407) 325-9320
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 |
|---|---|---|---|
| 864035 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eesha Exclusive Home Health Agency LLC | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AccordCare Home Health
- Home Health Agency
- Maitland, FL
- NPI 1053864900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1821514092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6630 CRESTMONT GLEN LN",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866408",
"telephone_number": "407-325-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6630 CRESTMONT GLEN LN",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866408",
"telephone_number": "407-325-9320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "MAMTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "864035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.