Individual provider Active NPI

Vicki Hatch, MS RDN, LDN, CDE

  • Nutritionist
  • Aventura, FL
National Provider Identifier
1972717031
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
ND2887 Issued in FL
Practice address
2875 NE 191St St Ste 552
Aventura, FL 33180-2801
Phone
(954) 840-7296
NPI assigned
May 9, 2007
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND2887 FL
Nutritionist 133N00000X ND2887 FL Primary

Addresses

Primary practice location

2875 NE 191St St Ste 552
Aventura, FL 33180-2801

Mailing address

3350 NE 192ND St Apt 3P
Miami, FL 33180-2420
Phone (305) 527-5579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020002653 FL Practitioner - Registered Dietitian Or Nutrition Professional 1557670262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2875 NE 191St St
Suite 552
Aventura, FL 33180-2801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Hatch Nutrition Inc Nutritionist CurrentSince Feb 16, 2015 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1972717031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NE 192ND ST APT 3P",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802420",
            "telephone_number": "305-527-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 NE 191ST ST STE 552",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802801",
            "telephone_number": "954-840-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "VICKI",
        "credential": "MS RDN, LDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND2887",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND2887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.