MRS. TRACY MASTANDREA RD,LD/N
NPI 1710113410
Dietitian, Registered in Wellington, FL

Q: What is Tracy Mastandrea's NPI number?

The NPI number for Tracy Mastandrea is 1710113410. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Q: What is Tracy Mastandrea'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 Tracy Mastandrea was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 09, 2009

9180 FOREST HILL BLVD, WELLINGTON, FL 33411(561) 358-2408 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Tracy Mastandrea Rd,ld/n NPPES

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

MRS. TRACY MASTANDREA RD,LD/N (NPI 1710113410) is an individual dietitian, registered in Wellington, Florida, licensed in Florida (ND3715) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1710113410

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. TRACY MASTANDREACredential: RD,LD/N

Location Address9180 FOREST HILL BLVDWellington, FL 33411-6564

Mailing Address9423 Coventry Lake CtWest Palm Beach, FL 33411-6602 · (561) 358-2408 · Fax (561) 333-5374

Phone(561) 358-2408

Sole ProprietorNo

Enumeration DateJune 9, 2009

Last NPPES UpdateApril 11, 2012

✔ NPI 1710113410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in FL · ND3715

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.

Also ListedNutritionistTaxonomy 133N00000X · License ND3715 (FL)

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License ND3715 (FL)

9180 FOREST HILL BLVD, Wellington, FL 33411

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Other Providers at the Same Location NPPES 9

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