Organization Active NPI

Purposefull Nutrition, LLC

  • Nutritionist
  • Vienna, VA
National Provider Identifier
1033863063
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
PURPOSEFULL NUTRITION, LLC
Practice address
2110 Gallows Rd Ste D
Vienna, VA 22182-3962
Phone
(703) 350-6506
NPI assigned
Feb 8, 2022
Last updated
Feb 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Cara Nicole Christie, RDNNPI 1255973848
Title
Registered Dietitian
Phone
(703) 677-7250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

2110 Gallows Rd Ste D
Vienna, VA 22182-3962

Mailing address

3404 Gallows Rd
Annandale, VA 22003-1417
Phone (703) 677-7250

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": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1033863063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 GALLOWS RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031417",
            "telephone_number": "703-677-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 GALLOWS RD STE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823962",
            "telephone_number": "703-350-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSEFULL NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "703-677-7250",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.