Active NPI
Living Fresh LLC
- Registered Dietitian
- Oakland Park, FL
National Provider Identifier
1912214362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND4739
- Legal business name
- LIVING FRESH LLC
- Practice address
- 1840 NE 34TH CT
Oakland Park, FL 33306-1022 - Phone
- (954) 205-2334
- NPI assigned
- Sep 7, 2010
- Last updated
- Feb 27, 2012
- 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
- Nicole Andrews, RD, LD/N
- Title
- Nutritionist/ Dietitian
- Phone
- (954) 205-2334
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND4739 | FL | Primary |
Addresses
Primary practice location
1840 NE 34TH CT
Oakland Park, FL 33306-1022
Mailing address
1840 NE 34TH CT
Oakland Park, FL 33306-1022
Phone (954) 205-2334
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Oakland Park, FL
- NPI 1265746333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330300800000",
"number": "1912214362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 NE 34TH CT",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333061022",
"telephone_number": "954-205-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 NE 34TH CT",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333061022",
"telephone_number": "954-205-2334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING FRESH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-07",
"last_updated": "2012-02-27",
"status": "A",
"authorized_official_last_name": "ANDREWS",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "NUTRITIONIST/ DIETITIAN",
"authorized_official_telephone_number": "954-205-2334",
"authorized_official_credential": "RD, LD/N"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND4739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.