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

Anissa Lynn Bourgeacq, RDN

Individual provider Registered Dietitian · NPI 1164155578

Anissa Lynn Bourgeacq, RDN is a Registered Dietitian in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

8221 Sandpoint Blvd
Orlando, FL 32819-7252
Phone: (319) 855-0415
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence ND10630 (FL)

Record details

NPI number1164155578
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedJuly 4, 2022
Last updated in NPPESJuly 4, 2022
Certification dateJuly 4, 2022

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