Active NPI
Anna Novak, RDN, LDN
- Registered Dietitian
- Fort Lauderdale, FL
National Provider Identifier
1891361713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3848
- Practice address
- 915 Middle River Dr Ste 114
Fort Lauderdale, FL 33304-3586 - Phone
- (954) 224-7499
- NPI assigned
- Jun 1, 2021
- 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 | 3848 | TN | Primary |
Addresses
Primary practice location
915 Middle River Dr Ste 114
Fort Lauderdale, FL 33304-3586
Mailing address
805 Cameron Village Dr Apt 106
Matthews, NC 28105-2399
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1891361713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 CAMERON VILLAGE DR APT 106",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281052399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 MIDDLE RIVER DR STE 114",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043586",
"telephone_number": "954-224-7499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "ANNA",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "3848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
- Nova Southeastern University, Inc
- Nova Southeastern University, Inc
- Nova Southeastern University, Inc
- Nova Southeastern University, Inc.
- Novacare Rehabilitation
- Jamie Daniel Novak, CRNA
- Sandra Moxley Novak, PSYD, MSW, CHT
- Lissette Novar, PA-C
- Danielle Cherrnay Novick, CRNA
- Novinopath Diagnostics FL LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.