Alex Baker Frizzelle III, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND7676 Issued in FL

Practice address

123 NW 13TH St Ste 305a
Boca Raton, FL 33432-1645

Phone

(786) 230-6591

NPI assigned

May 17, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1831626209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NW 13TH ST STE 305A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NW 13TH ST STE 305A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321645",
            "telephone_number": "786-230-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIZZELLE",
        "first_name": "ALEX",
        "middle_name": "BAKER",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.