Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew David Sisisky

Individual provider Nutritionist · NPI 1407637838

Andrew David Sisisky is a Registered Dietitian OR Nutrition Professional in Plantation, Florida. Qualified in 2020, 6 years ago. Practices with Simplex Health, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2023

Practice location Address checks out

621 NW 108th Ave
Plantation, FL 33324-1002
Phone: (305) 710-4457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence 11028 (FL)

Record details

NPI number1407637838
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing address621 Nw 108th Ave, Plantation, FL 33324-1002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Simplex Health — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Plantation