Jeanna L Rhoulhac, RD LDN CDE

Primary specialty

NutritionistTaxonomy code 133N00000X

License

ND1730 Issued in FL

Practice address

1111 W Broward Blvd
Fort Lauderdale, FL 33312-1638

Phone

(954) 463-7313

Fax

(954) 527-6082

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeanna L Easley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1881658755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-463-7313",
            "fax_number": "954-527-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121638",
            "telephone_number": "954-463-7313",
            "fax_number": "954-527-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOULHAC",
        "first_name": "JEANNA",
        "middle_name": "L",
        "credential": "RD LDN CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND1730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNA",
            "last_name": "EASLEY",
            "middle_name": "L",
            "credential": "RD LDN CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dmitriy Reznik, P.A.
• Mikhail Reznikov, M.D.
• RFD1 PLLC
• RGR, LLC
• Johnny D Rhoden, RN
• Rodolfo Pagador Rialubin Jr., RPT
• Jorge M Ricardez, DDS
• Carlos Ricart
• Mirta Rice, PSY.D.
• Richard F Ott MD PA

• Nutritionist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Nutritionist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.