Shadia Hamadeh, MS, RDN, LDN, CLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND6720 Issued in FL

Practice address

9596 Lake Serena Dr
Boca Raton, FL 33496-6517

Phone

(954) 415-0142

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Inutrition4U LLC

  • Registered Dietitian
  • Boca Raton, FL
  • NPI 1336960327

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1902443187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9596 LAKE SERENA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334966517",
            "telephone_number": "954-415-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9596 LAKE SERENA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334966517",
            "telephone_number": "954-415-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADEH",
        "first_name": "SHADIA",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, LDN, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "ND6720",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "FL",
            "license": "ND6720",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "FL",
            "license": "ND6720",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "ALPP-307088",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl S Hallett, LCSW
• Susan F Halley, ARNP
• Hallway of Life Recovery Center, Inc
• Tyler Halvaksz, APRN
• Olga Ham CHI
• Samir H Hamdeh
• Losarnia Samoy Hamilton, APRN, PMHNP-BC
• Susan E Hammell
• Elizabeth Hammer, LMHC
• Shira N Hammer, OTR/L

• Registered Dietitian in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.