Active NPI
Maria Cecilia Pfund
- Registered Dietitian
- Vero Beach, FL
National Provider Identifier
1912626359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1007258
- Practice address
- 1455 90TH Ave Lot A9
Vero Beach, FL 32966-7513 - Phone
- (352) 870-1537
- NPI assigned
- Aug 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1007258 | TX | Primary |
Addresses
Primary practice location
1455 90TH Ave Lot A9
Vero Beach, FL 32966-7513
Mailing address
1455 90TH Ave Lot A9
Vero Beach, FL 32966-7513
Phone (352) 870-1537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1007258 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1912626359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 90TH AVE LOT A9",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329667513",
"telephone_number": "352-870-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 90TH AVE LOT A9",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329667513",
"telephone_number": "352-870-1537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFUND",
"first_name": "MARIA",
"middle_name": "CECILIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "1007258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.