MS. AUDREY F BLUMENFELD (NPI# 1346580461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346580461 |
| Entity Type | Individual |
| Full Name | MS. AUDREY F BLUMENFELD |
| Credential | MPH.,RD |
| Practice Address |
1500 Lee Blvd Lehigh Acres FL 33936-4835 |
| Mailing Address |
7117 Pelican Bay Blvd 1208 Naples FL 34108-5532 |
| Practice Telephone | 2393684551 |
| Mailing Telephone | 2393259502 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 497233 | WI | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | ND6374 | FL | Dietary & Nutritional Service Providers |
| Street Address |
1500 LEE BLVD |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33936-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358143 | Charles J Havel Jr. | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2005-09-29 |
| 1396345716 | Anita Dzelilovic | Social Worker | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2020-10-26 |
| 1881212322 | Kimberly L Harris | Registered Nurse | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2020-07-10 |
| 1710543640 | Small Hospital Innovations LLC | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2019-05-16 |
| 1922563485 | Prime Healthcare Services-lehigh Acres LLC | Psychiatric Unit | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2019-02-08 |
| 1235611286 | Jacquelyn Boberg | Nurse Practitioner | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2018-09-05 |
| 1568994564 | Leonie Hernandez | Nurse Practitioner | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2017-03-29 |
| 1497128219 | Viking Emergency Physicians, LLC | Physician Assistant | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-11-02 |
| 1083086995 | Anemone Emergency Physicians, LLC | Physician Assistant | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-10-30 |
| 1023488202 | Lehigh Regional Medical Center | Pharmacy | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
| 1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
| 1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
| 1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
| 1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
| 1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| 1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
| 1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| Find all providers in zip 33936 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
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| 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.