Active NPI
Donna Decunzo-Taddeo
- Registered Dietitian
- Lighthouse Point, FL
National Provider Identifier
1932565488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND2352
- Practice address
- 2521 NE 46TH St
Lighthouse Point, FL 33064-7258 - Phone
- (954) 562-7767
- Fax
- (954) 786-1742
- NPI assigned
- Jan 13, 2016
- 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 | ND2352 | FL | Primary |
Addresses
Primary practice location
2521 NE 46TH St
Lighthouse Point, FL 33064-7258
Mailing address
2521 NE 46TH St
Lighthouse Point, FL 33064-7258
Phone (954) 562-7767
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 |
|---|---|---|---|
| ND2352 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1932565488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 NE 46TH ST",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647258",
"telephone_number": "954-562-7767",
"fax_number": "954-786-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 NE 46TH ST",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647258",
"telephone_number": "954-562-7767",
"fax_number": "954-786-1742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECUNZO-TADDEO",
"first_name": "DONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND2352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.