Active NPI
Planos Nutrition, Inc
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1932568656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND6920
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
National Provider Directory
National Provider DirectoryLocations
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.