ST. PETERSBURG NUTRITION LLC (NPI# 1255815395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255815395 |
| Entity Type | Organization |
| Organization Name | ST. PETERSBURG NUTRITION LLC |
| Practice Address |
3862 Central Ave Ste A Saint Petersburg FL 33711-1202 |
| Practice Telephone | 7273449933 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | BRENDA FIKRY (MANAGER/REGISTERED DIETITIAN) |
| Authorized Official Telephone | 7273449933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
3862 CENTRAL AVE STE A |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33711-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679089502 | Brenda Fikry | Dietitian, Registered | 3862 Central Ave Ste A, Saint Petersburg, FL 33711-1202 | 2017-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617446 | Madisyn Becker | Dietitian, Registered | 871 Ibis Walk Pl N Unit 7203, Saint Petersburg, FL 33716-3843 | 2020-10-19 |
| 1487264339 | Nicole Fresta | Dietitian, Registered | 1590 79th Ave N, Saint Petersburg, FL 33702-4039 | 2020-08-05 |
| 1851914360 | Anthony Thomas Robinson | Dietitian, Registered | 2025 Lakewood Club Dr S Apt A, Saint Petersburg, FL 33712-4951 | 2020-05-19 |
| 1194381954 | Jessica Mccann | Dietitian, Registered | 1727 New Hampshire Ave Ne, Saint Petersburg, FL 33703-3347 | 2019-05-16 |
| 1023573755 | Elizabeth Wilson | Dietitian, Registered | 8424 4th St N, Saint Petersburg, FL 33702-3659 | 2019-02-06 |
| 1558838672 | Jennifer Mimkha | Dietitian, Registered | 11850 Dr Martin Luther King St N Apt 12304, Saint Petersburg, FL 33716-1631 | 2018-10-26 |
| 1376055368 | Laura Richardson | Dietitian, Registered | 1858 Michigan Ave Ne, Saint Petersburg, FL 33703-3332 | 2017-10-30 |
| 1770936304 | Vanessa Carr | Dietitian, Registered | 720 9th St S, Saint Petersburg, FL 33701-4718 | 2016-07-19 |
| 1982036695 | Darbie Leigh Wilder | Dietitian, Registered | 184 Valencia Cir, Saint Petersburg, FL 33716-1298 | 2013-08-05 |
| 1124305487 | Sasha Ocampo | Dietitian, Registered | 317 34th Ave N Apt 407, Saint Petersburg, FL 33704-1342 | 2011-11-14 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33711 |
Please comment or provide details below to improve the information on ST. PETERSBURG NUTRITION LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.