SYDNEY BOVENDER (NPI# 1962011809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962011809 |
| Entity Type | Individual |
| Full Name | SYDNEY BOVENDER |
| Credential | RD |
| Practice Address |
110 Longwood Ave Rockledge FL 32955-2828 |
| Mailing Address |
3802 Alafaya Ln Unit 201 Rockledge FL 32955-5244 |
| Practice Telephone | 3216362211 |
| Mailing Telephone | 6195349801 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND9880 | FL | Dietary & Nutritional Service Providers |
| Street Address |
110 LONGWOOD AVE |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192244 | Wuesthoff Emergency Physicians Pa | Emergency Medicine | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2005-05-31 |
| 1235663899 | Steward Rockledge Hospital, Inc. | Psychiatric Unit | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2017-04-20 |
| 1437682127 | Steward Rockledge Hospital, Inc. | Psychiatric Unit | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2017-04-10 |
| 1306200522 | Rockledge Emergency Group LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-13 |
| 1538523295 | Rockledge Physician Services, LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-08 |
| 1497111983 | Infectious Diseases Specialist of Brevard LLC | Internal Medicine | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-01-13 |
| 1679943740 | John Wesley Rothwell IIi | Nurse Practitioner | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-10-02 |
| 1922484104 | Lucas Marlatt | Nurse Practitioner | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-08-10 |
| 1447631049 | Ioana Workman | Pharmacist | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-06-09 |
| 1972982148 | Heather Bennett | Registered Nurse | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| 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 |
|---|---|---|---|---|
| 1932653615 | The Gut Rd, LLC | Dietitian, Registered | 3190 Suntree Blvd Ste 101, Rockledge, FL 32955-5741 | 2016-08-10 |
| 1912328782 | Angela Michelle Gallagher | Dietitian, Registered | 5247 Indigo Crossing Dr, Rockledge, FL 32955-6053 | 2013-12-21 |
| 1962773309 | Natalie Michelle Sherman | Dietitian, Registered | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2012-01-17 |
| 1396016879 | Cheryl Marsland | Dietitian, Registered | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2012-01-16 |
| 1275859779 | Linda Marie Ovitsky | Dietitian, Registered | 110 Longwood Ave, Mail Stop 66, Rockledge, FL 32955-2828 | 2010-04-09 |
| 1407010580 | Kyla Renee Palmiter | Dietitian, Registered | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2008-07-17 |
| 1013068360 | Temple Physicians Inc. | Dietitian, Registered | 8 Huntingdon Pike, Suite 100, Rockledge, PA 19046-4338 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265268 | Rachel Moore Gibson | Dietitian, Registered | 5145 S Dale Mabry Hwy Unit 20412, Tampa, FL 33611-3677 | 2020-11-08 |
| 1275134520 | Dunia Santana-enamorado | Dietitian, Registered | 6141 Lanshire Dr, Tampa, FL 33634-3042 | 2020-11-03 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1114527256 | Jacquelyn Gabriela Baldeon Garo | Dietitian, Registered | 17701 Sw 112th Ave, Miami, FL 33157-5007 | 2020-10-28 |
| 1013516632 | Cecelia Lee Andreo | Dietitian, Registered | 3545 Victory Dr, Pace, FL 32571-8302 | 2020-10-24 |
| 1114526209 | Scientific Nutrition International LLC | Dietitian, Registered | 6295 Sunset Dr, South Miami, FL 33143-4804 | 2020-10-20 |
| 1023617446 | Madisyn Becker | Dietitian, Registered | 871 Ibis Walk Pl N Unit 7203, Saint Petersburg, FL 33716-3843 | 2020-10-19 |
| 1194323774 | Janice Cuevas Cintron | Dietitian, Registered | 5439 Limestone Ln, Lakeland, FL 33809-0830 | 2020-10-15 |
| 1194323345 | Danielle Sara Samelson | Dietitian, Registered | 4225 Cloverleaf Pl, Casselberry, FL 32707-4703 | 2020-10-10 |
| 1518564830 | Sneha Lalla | Dietitian, Registered | 14171 Metropolis Ave Ste 202, Fort Myers, FL 33912-4335 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SYDNEY BOVENDER.
| 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.