Organization Active NPI

Rdiabetes Empowermnt LLC

  • Registered Dietitian
  • Annapolis, MD
National Provider Identifier
1013273242
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX2531 Issued in MD
Legal business name
RDIABETES EMPOWERMNT LLC
Practice address
192A S Southwood Ave
Annapolis, MD 21401-4026
Phone
(410) 487-2779
Fax
(410) 280-2278
NPI assigned
Apr 2, 2012
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Mrs. Jo Ellen Condon, RD, LD, CDENPI 1538216932
Title
Dietitian/Owner
Phone
(410) 487-2779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX2531 MD Primary

Addresses

Primary practice location

192A S Southwood Ave
Annapolis, MD 21401-4026

Mailing address

192A S Southwood Ave
Annapolis, MD 21401-4026
Phone (410) 487-2779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1013273242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192A S SOUTHWOOD AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014026",
            "telephone_number": "410-487-2779",
            "fax_number": "410-280-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192A S SOUTHWOOD AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014026",
            "telephone_number": "410-487-2779",
            "fax_number": "410-280-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDIABETES EMPOWERMNT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "JO ELLEN",
        "authorized_official_title_or_position": "DIETITIAN/OWNER",
        "authorized_official_telephone_number": "410-487-2779",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.