ANDREW DAVID SISISKY
NPI 1407637838
Nutritionist in Plantation, FL

Q: What is Andrew Sisisky's NPI number?

The NPI number for Andrew Sisisky is 1407637838. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Q: What is Andrew Sisisky's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Sisisky was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 11, 2023Accepts Medicare Assignment

621 NW 108TH AVE, PLANTATION, FL 33324(305) 710-4457 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andrew David Sisisky NPPES

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

ANDREW DAVID SISISKY (NPI 1407637838) is an individual nutritionist in Plantation, Florida, licensed in Florida (11028) and active in the NPI registry since October 2023. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1407637838

Entity TypeIndividualMale

Primary Taxonomy133N00000X

Provider Legal NameANDREW DAVID SISISKY

Location Address621 NW 108TH AVEPlantation, FL 33324-1002

Mailing Address621 Nw 108th AvePlantation, FL 33324-1002 · (305) 710-4457

Phone(305) 710-4457

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 11, 2023

NPPES CertifiedOctober 11, 2023

✔ NPI 1407637838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

License✔ Licensed in FL · 11028

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

621 NW 108TH AVE, Plantation, FL 33324

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew David Sisisky is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426581869

PECOS Enrollment IDI20241024000625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Sisisky's NPI number?

The NPI number for Andrew Sisisky is 1407637838. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Andrew Sisisky located?

Andrew Sisisky practices at 621 NW 108th Ave, Plantation, FL 33324. The listed phone number is (305) 710-4457.

What is Andrew Sisisky's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Andrew Sisisky enrolled in Medicare?

Yes. Andrew Sisisky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrew Sisisky was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.