XP Nutrition and Fitness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

XP NUTRITION AND FITNESS LLC

Practice address

17030 NW 66TH CT
Hialeah, FL 33015-4639

Phone

(305) 200-7195

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Xavier Andres Panchana, RDN., LDN

Title

Registered Dietitian Nutritionist

Phone

(305) 200-7195

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1902664626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 NW 66TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154639",
            "telephone_number": "305-200-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 NW 66TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154639",
            "telephone_number": "305-200-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XP NUTRITION AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "PANCHANA",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "305-200-7195",
        "authorized_official_credential": "RDN., LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.