Active NPI
Stephanie Nicholson, MS, RDN, LDN
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1891309878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01020954
- Practice address
- 2708 W Price Ave
Tampa, FL 33611-3834 - Phone
- (813) 712-0981
- NPI assigned
- Sep 7, 2020
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01020954 | FL | Primary |
Addresses
Primary practice location
2708 W Price Ave
Tampa, FL 33611-3834
Mailing address
2708 W Price Ave
Tampa, FL 33611-3834
Phone (813) 712-0981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2708 W Price Ave
Tampa, FL 33611-3834
80 Palomino LN
Suite 101
Bedford, NH 03110-6447
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01020954 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Sunshine Nutrition Group LLC | Dietitian, Registered | Current | Accepting new patients |
| Food Fit Metabolic Health LLC | Dietitian, Registered | Current | Accepting new patients |
| Nutrition in Motion | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
150 S Pine Island Rd
Ste 300
Plantation, FL 33324
Phone (954) 530-2803
615 Channelside Dr
Ste 207
Tampa, FL 33602
Phone (727) 617-0070
80 Palomino Ln
Ste 101
Bedford, NH 03110
Phone (603) 315-7936
Organizations & group practices 5
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.
-
- Registered Dietitian
- Tampa, FL
- NPI 1174484976
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1891309878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 W PRICE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336113834",
"telephone_number": "813-712-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 W PRICE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336113834",
"telephone_number": "813-712-0981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "STEPHANIE",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-07",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "01020954",
"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 Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.