Individual provider Active NPI

Samantha Tryon

  • Registered Dietitian
  • Arlington, VA
National Provider Identifier
1003271032
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86029121 Issued in DC
Practice address
2001 Jefferson Davis Hwy
Ste 211
Arlington, VA 22202-3603
Phone
(571) 257-3364
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86029121 DC Primary

Addresses

Primary practice location

2001 Jefferson Davis Hwy
Ste 211
Arlington, VA 22202-3603

Mailing address

2001 Jefferson Davis Hwy
Ste 211
Arlington, VA 22202-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86029121DCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Behavioral Solutions Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1003271032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 JEFFERSON DAVIS HWY",
            "address_2": "STE 211",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 JEFFERSON DAVIS HWY",
            "address_2": "STE 211",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023603",
            "telephone_number": "571-257-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYON",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "86029121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.