Active NPI
Sydney Boulier, MS, RD, LDN, CNSC
- Registered Dietitian
- Orlando, FL
National Provider Identifier
1962011809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND9880
- Practice address
- 13800 Veterans Way
Orlando, FL 32827-7401 - Phone
- (407) 599-1404
- NPI assigned
- Jul 27, 2020
- Sex
- Female
- Sole proprietor
- No
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 | ND9880 | FL | Primary |
Addresses
Primary practice location
13800 Veterans Way
Orlando, FL 32827-7401
Mailing address
13800 Veterans Way
Orlando, FL 32827-7401
Phone (619) 534-9801
Other names 1
- Sydney Bovender
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | unsure |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND9880 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1962011809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13800 VETERANS WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277401",
"telephone_number": "619-534-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 VETERANS WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277401",
"telephone_number": "407-599-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULIER",
"first_name": "SYDNEY",
"credential": "MS, RD, LDN, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND9880",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "unsure",
"affiliation": "N",
"address_1": "13800 Veterans Way",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328277401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SYDNEY",
"last_name": "BOVENDER",
"code": "1",
"type": "Former Name"
}
]
}
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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.