Individual provider Active NPI

Paola Rossy Othon, MS, RD, LDN

  • Sports Dietetics Nutrition Registered Dietitian
  • Orlando, FL
National Provider Identifier
1942996707
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
License
ND11632 Issued in FL
Practice address
3639 Grande Reserve Way Apt 308
Orlando, FL 32837-4110
Phone
(850) 559-3551
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1501X ND11632 FL Primary

Addresses

Primary practice location

3639 Grande Reserve Way Apt 308
Orlando, FL 32837-4110

Mailing address

3639 Grande Reserve Way Apt 308
Orlando, FL 32837-4110

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND11632FLMDSports Dietetics Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie Nolan Cohn LLC Single Specialty Past Accepting new patients
Cloud Health Medical Group, P.a. Single Specialty Past Accepting new patients
Cloud Health Medical Group of California, P.C. Single Specialty Past Accepting new patients
Strategic Nutrition Single Specialty Past Accepting new patients
Everfit Inc Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Single Specialty Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1942996707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 GRANDE RESERVE WAY APT 308",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 GRANDE RESERVE WAY APT 308",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374110",
            "telephone_number": "850-559-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTHON",
        "first_name": "PAOLA",
        "middle_name": "ROSSY",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "FL",
            "license": "ND11632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.