Individual provider Active NPI

Sandra Ramirez

  • Registered Dietitian
  • Coconut Creek, FL
National Provider Identifier
1912724055
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND5133 Issued in FL
Practice address
4350 NW 30TH St Apt 132
Coconut Creek, FL 33066-2154
Phone
(954) 627-2276
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND5133 FL Primary

Addresses

Primary practice location

4350 NW 30TH St Apt 132
Coconut Creek, FL 33066-2154

Mailing address

4350 NW 30TH St Apt 132
Coconut Creek, FL 33066-2154
Phone (954) 627-2276

Other names 1

  • Sandra Villacis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251002000450 FL Practitioner - Registered Dietitian Or Nutrition Professional 5890291454 Reassigns benefits to 2 organizations
I20260120003017 DC Practitioner - Registered Dietitian Or Nutrition Professional 5890291454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 4000
Arlington, VA 22203-1824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND5133FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC Dietitian, Registered CurrentSince Jul 26, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 10, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 10, 2025 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Dec 4, 2025 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Openloop Healthcare Partners California PC Dietitian, Registered Past Accepting new patients
Openloop Healthcare Partners New Jersey PC Dietitian, Registered Past Accepting new patients

Locations

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1912724055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 NW 30TH ST APT 132",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662154",
            "telephone_number": "954-627-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 NW 30TH ST APT 132",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662154",
            "telephone_number": "954-627-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "VILLACIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.