Active NPI
Aria Hetzendorfer, RDN
- Registered Dietitian
- Saint Petersburg, FL
National Provider Identifier
1821808874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND11213
- Practice address
- 4560 40TH Ave N
Saint Petersburg, FL 33714-3410 - Phone
- (727) 330-5990
- NPI assigned
- Jan 11, 2025
- 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 | ND11213 | FL | Primary |
Addresses
Primary practice location
4560 40TH Ave N
Saint Petersburg, FL 33714-3410
Mailing address
4560 40TH Ave N
Saint Petersburg, FL 33714-3410
Phone (727) 330-5990
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 |
|---|---|---|---|
| ND11213 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | 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": "1736553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736553600000",
"number": "1821808874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 40TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337143410",
"telephone_number": "727-330-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 40TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337143410",
"telephone_number": "727-330-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETZENDORFER",
"first_name": "ARIA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-11",
"last_updated": "2025-01-11",
"certification_date": "2025-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND11213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.