Active NPI
Alexandra E Briceno, RD, LDN, CDN
- Registered Dietitian
- Weston, FL
National Provider Identifier
1821526351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 7153
- Practice address
- 2504 Princeton CT
Weston, FL 33327-1501 - Phone
- (305) 439-1589
- NPI assigned
- May 29, 2017
- 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 | 7153 | FL | Primary |
Addresses
Primary practice location
2504 Princeton CT
Weston, FL 33327-1501
Mailing address
2504 Princeton CT
Weston, FL 33327-1501
Phone (305) 439-1589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7153 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Atlanta Pediatric Nutrition, Inc. | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
Organizations & group practices 3
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.
-
- Pediatric Nutrition Registered Dietitian
- Woodstock, GA
- NPI 1558096479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1821526351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 PRINCETON CT",
"city": "WESTON",
"state": "FL",
"postal_code": "333271501",
"telephone_number": "305-439-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 PRINCETON CT",
"city": "WESTON",
"state": "FL",
"postal_code": "333271501",
"telephone_number": "305-439-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICENO",
"first_name": "ALEXANDRA",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "RD, LDN, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "7153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.