Individual provider Active NPI

Anastasia Narizhnaya

  • Registered Dietitian
  • Gainesville, FL
National Provider Identifier
1962126078
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
11590 Issued in FL
Practice address
25 SW 5TH Ter Apt 4209
Gainesville, FL 32601-6219
Phone
(202) 769-8690
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 11590 FL Primary

Addresses

Primary practice location

25 SW 5TH Ter Apt 4209
Gainesville, FL 32601-6219

Mailing address

25 SW 5TH Ter Apt 4209
Gainesville, FL 32601-6219
Phone (202) 769-8690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202000346 FL Practitioner - Registered Dietitian Or Nutrition Professional 3476925389 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11590FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Shands Teaching Hospital and Clinics Inc CurrentSince Oct 29, 2025 Accepting new patients

Locations

1600 SW Archer Rd
#1003
Gainesville, FL 32610

3951 NW 48th Ter
Ste 101
Gainesville, FL 32606
Phone (352) 265-5230

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1962126078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SW 5TH TER APT 4209",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016219",
            "telephone_number": "202-769-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SW 5TH TER APT 4209",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016219",
            "telephone_number": "202-769-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARIZHNAYA",
        "first_name": "ANASTASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "11590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.