Active NPI
Fanny Cabrera Pina, RDN, LDN, CBS
- Registered Dietitian
- Polk City, FL
National Provider Identifier
1962293654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86010408
- Practice address
- 5423 Jericho Ave
Polk City, FL 33868-9739 - Phone
- (787) 364-7607
- NPI assigned
- May 13, 2025
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutritionist | 133N00000X | 1893 | PR | |
| Nutritionist | 133N00000X | 7882 | FL | |
| Nutrition Education Nutritionist | 133NN1002X | 7882 | FL | |
| Lactation Consultant (Non-RN) | 174N00000X | FL | ||
| Registered Dietitian | 133V00000X | 86010408 | FL | Primary |
Addresses
Primary practice location
5423 Jericho Ave
Polk City, FL 33868-9739
Mailing address
5423 Jericho Ave
Polk City, FL 33868-9739
Phone (787) 364-7607
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 |
|---|---|---|---|
| 1893 | PR | MD | Endodontist |
| 86010408 | FL | MD | Registered Dietitian |
| 7882 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1962293654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5423 JERICHO AVE",
"city": "POLK CITY",
"state": "FL",
"postal_code": "338689739",
"telephone_number": "787-364-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5423 JERICHO AVE",
"city": "POLK CITY",
"state": "FL",
"postal_code": "338689739",
"telephone_number": "787-364-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA PINA",
"first_name": "FANNY",
"credential": "RDN, LDN, CBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-13",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1893",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "7882",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "FL",
"license": "7882",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "86010408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Polk City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.