Active NPI
Vida Eats, LLC
- Renal Nutrition Registered Dietitian
- St Petersburg, FL
National Provider Identifier
1902515521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- Legal business name
- VIDA EATS, LLC
- Practice address
- 699 16TH Ave S
St Petersburg, FL 33701-5407 - Phone
- (860) 944-0232
- NPI assigned
- Nov 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alana Benito, RD
- Title
- Ceo
- Phone
- (860) 944-0232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | Primary |
Addresses
Primary practice location
699 16TH Ave S
St Petersburg, FL 33701-5407
Mailing address
699 16TH Ave S
St Petersburg, FL 33701-5407
Phone (860) 944-0232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Somerset, NJ
- NPI 1578263778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673222400000",
"number": "1902515521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 16TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337015407",
"telephone_number": "860-944-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 16TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337015407",
"telephone_number": "860-944-0232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIDA EATS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-22",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A",
"authorized_official_last_name": "BENITO",
"authorized_official_first_name": "ALANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "860-944-0232",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.