Provider Demographics
NPI:1407078819
Name:CONSULTING REGISTERED DIETITIANS INC
Entity Type:Organization
Organization Name:CONSULTING REGISTERED DIETITIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RD,LD
Authorized Official - Phone:786-229-7947
Mailing Address - Street 1:PO BOX 560456
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-0456
Mailing Address - Country:US
Mailing Address - Phone:786-229-7947
Mailing Address - Fax:305-695-4400
Practice Address - Street 1:940 LINCOLN RD
Practice Address - Street 2:SUITE 322
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2627
Practice Address - Country:US
Practice Address - Phone:786-229-7947
Practice Address - Fax:305-695-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND3893133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty