Holly Marie Malcom, RD, LD/N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND6224 Issued in FL

Practice address

5000 New Bedford PL Apt 320
Winter Springs, FL 32708-4693

Phone

(561) 685-8165

NPI assigned

Feb 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1962826933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 NEW BEDFORD PL APT 320",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084693",
            "telephone_number": "561-685-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NEW BEDFORD PL APT 320",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084693",
            "telephone_number": "561-685-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RD, LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Macaione, AGNP-C
• Macdonald O D P a
• Edward Macdonald, OD
• Robin Macdonald, OD
• Christine Maiorano, COTA/L
• Elyse Michelle Malde, O.D.
• Jill Mall, PT
• Holly Kathryn Mann, LMHC
• Patricia Prieto Marchese, DMD
• Firas Marouf, DMD

• Registered Dietitian in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.