Active NPI
Andrea Susanne Szebeni, M.S., R.D., LD/N
- Registered Dietitian
- Hypoluxo, FL
National Provider Identifier
1871875112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1044812
- Practice address
- 167 Yacht Club Way
#104
Hypoluxo, FL 33462-6061 - Phone
- (305) 924-7319
- NPI assigned
- Sep 13, 2011
- Last updated
- Sep 13, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND 5971 | FL | |
| Registered Dietitian | 133V00000X | 1044812 | FL | Primary |
| Registered Dietitian | 133V00000X | ND 5971 | FL |
Addresses
Primary practice location
167 Yacht Club Way
#104
Hypoluxo, FL 33462-6061
Mailing address
167 Yacht Club Way
#104
Hypoluxo, FL 33462-6061
Phone (305) 924-7319
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 5971 | FL | MD | Nutritionist |
| 1044812 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Dynamics Nutrition | Current | Accepting new patients | |
| Coastal Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Coastal Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Body Dynamics | Nutritionist | Past | Accepting new patients |
Locations
433 Plaza Real
Ste 275
Boca Raton, FL 33432
Phone (561) 262-0084
100 Independence Dr
Ste 7324
Hyannis, MA 02601
Phone (800) 970-6862
Organizations & group practices 4
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.
-
- Metabolic Nutrition Registered Dietitian
- Marlborough, MA
- NPI 1073078531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1871875112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 YACHT CLUB WAY",
"address_2": "#104",
"city": "HYPOLUXO",
"state": "FL",
"postal_code": "334626061",
"telephone_number": "305-924-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 YACHT CLUB WAY",
"address_2": "#104",
"city": "HYPOLUXO",
"state": "FL",
"postal_code": "334626061",
"telephone_number": "305-924-7319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZEBENI",
"first_name": "ANDREA",
"middle_name": "SUSANNE",
"credential": "M.S., R.D., LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND 5971",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "1044812",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 5971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hypoluxo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.