Andrea Michelle Penix, M.S., R.D., L.D.
NPI 1205152444ActiveIndividual· Dietitian, Registered· Temple Terrace, FL
Dietitian, Registered (M.S., R.D., L.D.) in Temple Terrace, Florida, licensed in FL and GA, with an NPI issued in April 2010.
Overview
| NPI | 1205152444 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., R.D., L.D. |
| Sole proprietor | No |
| NPI issued | Apr 13, 2010 |
| Last updated in NPPES | Feb 9, 2023 |
| Certified by provider | Feb 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 11855 | FL |
| Dietitian, Registered | 133V00000X | LD003506 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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