Active NPI
Paula M Pollack, RD LD
- Registered Dietitian
- Wellington, FL
National Provider Identifier
1841624426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND2550
- Practice address
- 13049 La Mirada Cir
Wellington, FL 33414-3963 - Phone
- (561) 324-1654
- NPI assigned
- Aug 30, 2013
- Last updated
- Sep 4, 2013
- 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 | ND2550 | FL | Primary |
Addresses
Primary practice location
13049 La Mirada Cir
Wellington, FL 33414-3963
Mailing address
13049 La Mirada Circle
Wellington, FL 33414
Phone (561) 324-1654
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 |
|---|---|---|---|
| ND2550 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1841624426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13049 LA MIRADA CIRCLE",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "33414",
"telephone_number": "561-324-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13049 LA MIRADA CIR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143963",
"telephone_number": "561-324-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "PAULA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND2550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
- Planned Care Agency
- Planned Parenthood of Florida, Inc. (Planned Parenthood of South Florida and the Treasure Coast)
- Play & Say Speech Therapy LLC
- Yocoima S Plaza, M.D.
- Franceska Point-Du-Jour
- Stacey Pollak Shinder, MD
- Susana Fiorella Ponce, APRN
- Ginger Popper, LDO
- Humberto L Porrata, M.D.
- Damian Portela, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.