NPIMap

Organization Active NPI

Namaste Nourished LLC

  • Registered Dietitian
  • Fort Lauderdale, FL
National Provider Identifier
1861145260
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NAMASTE NOURISHED LLC
Practice address
1915 NE 45TH St Ste 210
Fort Lauderdale, FL 33308-5100
Phone
(954) 641-2210
Fax
(954) 827-3399
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Kerry McCarthy, MS, RD, LDN, CEDS-CNPI 1154726875
Title
Founder
Phone
(631) 512-2157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1915 NE 45TH St Ste 210
Fort Lauderdale, FL 33308-5100

Mailing address

1915 NE 45TH St Ste 210
Fort Lauderdale, FL 33308-5100
Phone (954) 641-2210

Other practice location 1

5887 Glenridge Dr Ste 230
Sandy Springs, GA 30328-9929
Phone (954) 641-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250818003675 FL Part B Supplier - Clinic/Group Practice 2264931187 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1861145260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NE 45TH ST STE 210",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085100",
            "telephone_number": "954-641-2210",
            "fax_number": "954-827-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE 45TH ST STE 210",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085100",
            "telephone_number": "954-641-2210",
            "fax_number": "954-827-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5887 Glenridge Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303289929",
            "country_code": "US",
            "telephone_number": "954-641-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAMASTE NOURISHED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "631-512-2157",
        "authorized_official_credential": "MS, RD, LDN, CEDS-C"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.

Verify at the official NPI Registry.