Organization Active NPI

Tampa Nutrition Therapy LLC

  • Registered Dietitian
  • Lutz, FL
National Provider Identifier
1952596660
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND3718 Issued in FL
Legal business name
TAMPA NUTRITION THERAPY LLC
Practice address
22916 Sterling Manor Loop
Lutz, FL 33549-4119
Phone
(813) 909-2344
NPI assigned
Sep 6, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Batina Timmons, R.D.NPI 1265593644
Title
Owner
Phone
(813) 924-0676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X ND3718 FL Primary

Addresses

Primary practice location

22916 Sterling Manor Loop
Lutz, FL 33549-4119

Mailing address

22916 Sterling Manor Loop
Lutz, FL 33549-4119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000642 FL Part B Supplier - Clinic/Group Practice 3577647270 Receives reassigned benefits from 1 practitioner
Practice locations: Riverview, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1952596660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22916 STERLING MANOR LOOP",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22916 STERLING MANOR LOOP",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494119",
            "telephone_number": "813-909-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA NUTRITION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "BATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-924-0676",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.