Tanisha Bandoo, MS, RDN, CDN, LDN
Dietitian, Registered in Fort Lauderdale, Florida
1821669847- Practice location
- 2630 W Broward Blvd Ste 203, Fort Lauderdale, FL 33312
- Phone
- 914-315-4136
- Fax
- —
- Last updated
- July 15, 2025
Tanisha Bandoo is a Dietitian, Registered based in Fort Lauderdale, FL. Tanisha Bandoo practices in Fort Lauderdale, FL and has the professional credentials of MS, RDN, CDN, LDN. The NPI Number for Tanisha Bandoo is 1821669847 and holds a License No. 164.012334 (IL). The current practice location address for Tanisha Bandoo is 2630 W Broward Blvd Ste 203, Fort Lauderdale, FL 33312 and can be reached out via phone at 914-315-4136.
Provider Profile Details
- NPI Number
- 1821669847
- Provider Name
- Tanisha Bandoo
- Credential
- MS, RDN, CDN, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2630 W Broward Blvd Ste 203, Fort Lauderdale, FL 33312
- Phone Number
- 914-315-4136
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 9, 2021
- Last Update Date
- July 15, 2025
- Certification Date
- July 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2630 W Broward Blvd Ste 203
Fort Lauderdale, FL 33312 - City
- Fort Lauderdale
- State
- Florida
- Zip
- 33312
- Phone Number
- 914-315-4136
Provider Business Mailing Address Details
- Address
- 2630 W Broward Blvd Ste 203
Fort Lauderdale, FL 33312-1315 - City
- Fort Lauderdale
- State
- FL
- Zip
- 33312-1315
License Information
- License Number (1)
- 164.012334
- License State (1)
- IL
- Taxonomy (1)
- Dietitian, Registered · 133V00000X
- License Number (2)
- LD007465
- License State (2)
- GA
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
- License Number (3)
- 10677
- License State (3)
- FL
- Taxonomy (3)
- Dietitian, Registered · 133V00000X
- License Number (4)
- 2043
- License State (4)
- CT
- Taxonomy (4)
- Dietitian, Registered · 133V00000X
- License Number (5)
- DT90869
- License State (5)
- TX
- Taxonomy (5)
- Dietitian, Registered · 133V00000X
- License Number (6)
- 010561
- License State (6)
- NY
- Taxonomy (6)
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tanisha Bandoo, MS, RDN, CDN, LDN?
The NPI number of Tanisha Bandoo, MS, RDN, CDN, LDN is 1821669847. It was assigned on July 9, 2021 and is currently active in the NPPES registry.
What is the specialty of Tanisha Bandoo, MS, RDN, CDN, LDN?
Tanisha Bandoo, MS, RDN, CDN, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in IL under license number 164.012334.
Where does Tanisha Bandoo, MS, RDN, CDN, LDN practice?
The practice location is 2630 W Broward Blvd Ste 203, Fort Lauderdale, FL 33312. The office can be reached at 914-315-4136 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821669847 directly on the NPPES registry website.