Individual provider Active NPI

Arlene Lillian Kasner, NC

  • Nutritionist
  • Hollywood, FL
National Provider Identifier
1881948347
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NC 507 Issued in FL
Practice address
3475 Sheridan St
Suite 309
Hollywood, FL 33021-3663
Phone
(954) 986-6400
Fax
(561) 483-0114
NPI assigned
Nov 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NC 507 FL Primary

Addresses

Primary practice location

3475 Sheridan St
Suite 309
Hollywood, FL 33021-3663

Mailing address

8863 Sunscape LN
Boca Raton, FL 33496-5053
Phone (561) 482-8257

Other identifiers 1

IdentifierTypeStateIssuer
NC 507OtherFLLICENSED NUTRITIONIST

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

LicenseStateTypeSpecialty
NC 507FLMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1881948347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8863 SUNSCAPE LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334965053",
            "telephone_number": "561-482-8257",
            "fax_number": "561-483-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST",
            "address_2": "SUITE 309",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213663",
            "telephone_number": "954-986-6400",
            "fax_number": "561-483-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASNER",
        "first_name": "ARLENE",
        "middle_name": "LILLIAN",
        "name_prefix": "Mrs.",
        "credential": "NC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "NC 507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED NUTRITIONIST",
            "identifier": "NC 507",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.