Active NPI
Jordyn Laufenberg, RD
- Sports Dietetics Nutrition Registered Dietitian
- Tampa, FL
National Provider Identifier
1871248609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- License
- 86075114
- Practice address
- 12503 Usf Bull Run Dr
Tampa, FL 33617 - Phone
- (608) 778-8136
- NPI assigned
- Feb 21, 2022
- 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 |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 86075114 | WI | Primary |
Addresses
Primary practice location
12503 Usf Bull Run Dr
Tampa, FL 33617
Mailing address
12503 Usf Bull Run Drive
Ath 100
Tamp, FL 33617
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 |
|---|---|---|---|
| 86075114 | WI | MD | Sports Dietetics Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1871248609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12503 USF BULL RUN DRIVE",
"address_2": "ATH 100",
"city": "TAMP",
"state": "FL",
"postal_code": "33617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12503 USF BULL RUN DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "33617",
"telephone_number": "608-778-8136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUFENBERG",
"first_name": "JORDYN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "WI",
"license": "86075114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.