Organization Active NPI

Fruity Veggie Nutrition

  • Registered Dietitian
  • Hialeah, FL
National Provider Identifier
1992228381
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND6372 Issued in FL
Legal business name
FRUITY VEGGIE NUTRITION
Practice address
3432 W 92ND PL
Hialeah, FL 33018-2071
Phone
(786) 578-7318
NPI assigned
Jul 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Melissa Farello
Title
Registed Dietitian
Phone
(954) 806-2281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X ND6372 FL Primary

Addresses

Primary practice location

3432 W 92ND PL
Hialeah, FL 33018-2071

Mailing address

3432 W 92ND PL
Hialeah, FL 33018-2071
Phone (786) 578-7318

Other identifiers 1

IdentifierTypeStateIssuer
640540849040MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992228381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 W 92ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182071",
            "telephone_number": "786-578-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 W 92ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182071",
            "telephone_number": "786-578-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITY VEGGIE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FARELLO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REGISTED DIETITIAN",
        "authorized_official_telephone_number": "954-806-2281"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "640540849040",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.