Individual provider Active NPI

Carol Annette Adams, MDA, RDN, CSR, LDN

  • Registered Dietitian
  • Orlando, FL
National Provider Identifier
1922535541
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND8176 Issued in FL
Practice address
2701 Taft Ave
Orlando, FL 32804-4351
Phone
(407) 967-9675
Fax
(855) 218-6616
NPI assigned
May 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 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 ND8176 FL Primary

Addresses

Primary practice location

2701 Taft Ave
Orlando, FL 32804-4351

Mailing address

2701 Taft Ave
Orlando, FL 32804-4351
Phone (407) 967-9675

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)
Enrolled
Credentials
Medical Assistant

State licenses

LicenseStateTypeSpecialty
ND8176FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Non-Diet Wellness, LLC Dietitian, Registered CurrentSince Jun 1, 2020 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

924 N Magnolia Ave
Ste 138
Orlando, FL 32803
Phone (407) 929-6821

1155 Louisiana Ave
Ste 216
Winter Park, FL 32789
Phone (407) 349-3463

Organizations & group practices 2

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1922535541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 TAFT AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044351",
            "telephone_number": "407-967-9675",
            "fax_number": "855-946-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 TAFT AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044351",
            "telephone_number": "407-967-9675",
            "fax_number": "855-218-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CAROL",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "MDA, RDN, CSR, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.