Organization Active NPI

Planos Nutrition, Inc

  • Registered Dietitian
  • Tampa, FL
National Provider Identifier
1932568656
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND6920 Issued in FL
Legal business name
PLANOS NUTRITION, INC
Practice address
1205 N Franklin St Ste 332
Tampa, FL 33602-3313
Phone
(812) 604-0958
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Andres Eduardo Ayesta Herrera, RD, LD
Title
Ceo
Phone
(812) 604-0958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X ND6920 FL Primary

Addresses

Primary practice location

1205 N Franklin St Ste 332
Tampa, FL 33602-3313

Mailing address

1205 N Franklin St Ste 332
Tampa, FL 33602-3313
Phone (812) 604-0958

Other practice location 1

7804 N Jamaica St
Tampa, FL 33614-3348
Phone (812) 604-0958

Other names 1

  • Vive Nutrition, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

5895 Carrier Dr
Orlando, FL 32819

1205 N Franklin St
Ste 332
Tampa, FL 33602
Phone (812) 604-0958

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1932568656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N FRANKLIN ST STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023313",
            "telephone_number": "812-604-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N FRANKLIN ST STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023313",
            "telephone_number": "812-604-0958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7804 N Jamaica St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143348",
            "country_code": "US",
            "telephone_number": "812-604-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLANOS NUTRITION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "AYESTA HERRERA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-604-0958",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vive Nutrition, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.