Organization Active NPI

Nadal Nutrition

  • Renal Nutrition Registered Dietitian
  • Chantilly, VA
National Provider Identifier
1023736899
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
Legal business name
NADAL NUTRITION
Practice address
14143 Robert Paris CT
Chantilly, VA 20151-4201
Phone
(757) 585-3441
Fax
(888) 972-7994
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Carey Nadal, RD, CSR
Title
Owner
Phone
(252) 267-7556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1005X Primary

Addresses

Primary practice location

14143 Robert Paris CT
Chantilly, VA 20151-4201

Mailing address

5756 Walnut Wood LN
Burke, VA 22015-2709
Phone (252) 267-7556

Other practice location 1

5756 Walnut Wood Ln
Burke, VA 22015-2709
Phone (252) 267-7556

Other names 1

  • Nadal Nutrition Other name

National Provider Directory

National Provider Directory

Locations

14143 Robert Paris Ct
Chantilly, VA 20151
Phone (571) 528-0805

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1023736899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 WALNUT WOOD LN",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152709",
            "telephone_number": "252-267-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14143 ROBERT PARIS CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514201",
            "telephone_number": "757-585-3441",
            "fax_number": "888-972-7994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5756 Walnut Wood Ln",
            "address_purpose": "LOCATION",
            "city": "Burke",
            "state": "VA",
            "postal_code": "220152709",
            "country_code": "US",
            "telephone_number": "252-267-7556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NADAL NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "NADAL",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-267-7556",
        "authorized_official_credential": "RD, CSR"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nadal Nutrition",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nadal Nutrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.