Active NPI
Jennifer Carvalho
- Registered Dietitian
- Lutz, FL
National Provider Identifier
1942970686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 9650
- Practice address
- 1710 Fox Grape Loop
Lutz, FL 33558-3304 - Phone
- (832) 291-2080
- NPI assigned
- Sep 15, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 9650 | FL | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 9650 | FL | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 9650 | FL | |
| Registered Dietitian | 133V00000X | 9650 | FL | Primary |
Addresses
Primary practice location
1710 Fox Grape Loop
Lutz, FL 33558-3304
Mailing address
1710 Fox Grape Loop
Lutz, FL 33558-3304
Phone (832) 291-2080
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.sagemedicalnutrition.com | Direct |
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 |
|---|---|---|---|
| 9650 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1942970686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 FOX GRAPE LOOP",
"city": "LUTZ",
"state": "FL",
"postal_code": "335583304",
"telephone_number": "832-291-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 FOX GRAPE LOOP",
"city": "LUTZ",
"state": "FL",
"postal_code": "335583304",
"telephone_number": "832-291-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVALHO",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "FL",
"license": "9650",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "FL",
"license": "9650",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "FL",
"license": "9650",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "9650",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.sagemedicalnutrition.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "1710 Fox Grape Loop",
"city": "Lutz",
"state": "FL",
"country_code": "US",
"postal_code": "335583304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.