Individual provider Active NPI

Ileana Trautwein, RD

  • Registered Dietitian
  • Oviedo, FL
National Provider Identifier
1891562609
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND3634 Issued in FL
Practice address
7416 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone
(407) 977-4100
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND3634 FL Primary

Addresses

Primary practice location

7416 Red Bug Lake Rd
Oviedo, FL 32765-7154

Mailing address

7416 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone (407) 381-7345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402000828 FL Practitioner - Registered Dietitian Or Nutrition Professional 7810335403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

7416 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone (407) 381-7345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND3634FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Feb 1, 2024 Accepting new patients

Locations

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

7416 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 381-7345

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": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1891562609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 RED BUG LAKE RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657154",
            "telephone_number": "407-381-7345",
            "fax_number": "407-636-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7416 RED BUG LAKE RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657154",
            "telephone_number": "407-977-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUTWEIN",
        "first_name": "ILEANA",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.

Verify at the official NPI Registry.