Active NPI
Carol Aguirre, MS RDLDN
- Registered Dietitian
- Fort Lauderdale, FL
National Provider Identifier
1942415989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 4824
- Practice address
- 2598 E Sunrise Blvd Ste 210a
Fort Lauderdale, FL 33304-3230 - Phone
- (954) 603-4433
- NPI assigned
- May 12, 2007
- Last updated
- Mar 8, 2018
- 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 | ND 4824 | FL | Primary |
Addresses
Primary practice location
2598 E Sunrise Blvd Ste 210a
Fort Lauderdale, FL 33304-3230
Mailing address
715 Bayshore Dr Apt 705
Fort Lauderdale, FL 33304-3991
Phone (954) 298-1829
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
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 4824 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Connections, LLC | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Fort Lauderdale, FL
- NPI 1033696729
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1942415989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 BAYSHORE DR APT 705",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043991",
"telephone_number": "954-298-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2598 E SUNRISE BLVD STE 210A",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043230",
"telephone_number": "954-603-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUIRRE",
"first_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "MS RDLDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 4824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.