Individual provider Active NPI

Catherine M Mabru, RD, LD

  • Nutrition Education Nutritionist
  • Boca Raton, FL
National Provider Identifier
1982741575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
ND328 Issued in FL
Practice address
23257 State Road 7
Suite # 204
Boca Raton, FL 33428-5448
Phone
(561) 218-0550
Fax
(561) 218-1256
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X ND328 FL Primary

Addresses

Primary practice location

23257 State Road 7
Suite # 204
Boca Raton, FL 33428-5448

Mailing address

23257 State Rd 7
Suite # 204
Boca Raton, FL 33428-5406
Phone (561) 218-0550

Other identifiers 2

IdentifierTypeStateIssuer
5363777OtherFLAETNA
209876OtherFLAVMED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000178 FL Practitioner - Registered Dietitian Or Nutrition Professional 3476514506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23257 State Rd
7 Suite 204
Boca Raton, FL 33428-5406
Phone (561) 218-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND328FLMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Rd 2000 Inc CurrentSince Sep 12, 2001 Accepting new patients

Locations

23257 State Road 7
Ste 204
Boca Raton, FL 33428
Phone (561) 218-0550

7031 Washington Ave
Lantana, FL 33462
Phone (561) 585-2550

1380 NE Miami Gardens Dr
Ste 205
North Miami Beach, FL 33179
Phone (305) 949-0031

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982741575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23257 STATE RD 7",
            "address_2": "SUITE # 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285406",
            "telephone_number": "561-218-0550",
            "fax_number": "561-218-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23257 STATE ROAD 7",
            "address_2": "SUITE # 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285448",
            "telephone_number": "561-218-0550",
            "fax_number": "561-218-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRU",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "ND328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5363777",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "209876",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.