MRS. ANDREA MICHELLE PENIX M.S., R.D., L.D.
NPI 1205152444
Dietitian, Registered in Temple Terrace, FL

Q: What is Andrea Penix's NPI number?

The NPI number for Andrea Penix is 1205152444. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Q: What is Andrea Penix's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Penix was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2010

12662 TELECOM DR, TEMPLE TERRACE, FL 33637(706) 614-9119 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Andrea Michelle Penix M.s., R.d., L.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANDREA MICHELLE PENIX M.S., R.D., L.D. (NPI 1205152444) is an individual dietitian, registered in Temple Terrace, Florida, licensed in Florida (11855) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1205152444

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. ANDREA MICHELLE PENIXCredential: M.S., R.D., L.D.

Location Address12662 TELECOM DRTemple Terrace, FL 33637-0935

Mailing Address12662 Telecom DrTemple Terrace, FL 33637-0935 · (706) 614-9119

Phone(706) 614-9119

Sole ProprietorNo

Enumeration DateApril 13, 2010

Last NPPES UpdateFebruary 9, 2023

NPPES CertifiedFebruary 9, 2023

✔ NPI 1205152444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in FL · 11855✔ Licensed in GA · LD003506

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

12662 TELECOM DR, Temple Terrace, FL 33637

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY NICHOLE CHRISTIE APRN

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