Active NPI
Alexis Carter, RDN, LDN, IFNCP
- Registered Dietitian
- Miramar, FL
National Provider Identifier
1881416923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 9305
- Practice address
- 18162 SW 27TH St
Miramar, FL 33029-5188 - Phone
- (954) 598-4157
- NPI assigned
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 9305 | FL | Primary |
Addresses
Primary practice location
18162 SW 27TH St
Miramar, FL 33029-5188
Mailing address
18162 SW 27TH St
Miramar, FL 33029-5188
Phone (954) 598-4157
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 |
|---|---|---|---|
| 9305 | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1881416923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18162 SW 27TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295188",
"telephone_number": "954-598-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18162 SW 27TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295188",
"telephone_number": "954-598-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ALEXIS",
"credential": "RDN, LDN, IFNCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "9305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.