Active NPI
Listen Nutrition, LLC
- Registered Dietitian
- Manassas, VA
National Provider Identifier
1093471187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LISTEN NUTRITION, LLC
- Practice address
- 8637 Mathis Ave
Manassas, VA 20110-5270 - Phone
- (202) 670-9674
- NPI assigned
- Nov 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Ingraham, RDN
- Title
- Registered Dietitian
- Phone
- (202) 670-9674
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
8637 Mathis Ave
Manassas, VA 20110-5270
Mailing address
1602 Belle View Blvd
PMB 4170
Alexandria, VA 22307-2035
Phone (585) 506-5780
National Provider Directory
National Provider Directory- Tax ID family
- Listen Nutrition LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Dietitian
- Manassas, VA
- NPI 1558024083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643414400000",
"number": "1093471187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 BELLE VIEW BLVD",
"address_2": "PMB 4170",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223072035",
"telephone_number": "585-506-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8637 MATHIS AVE",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201105270",
"telephone_number": "202-670-9674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISTEN NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-12",
"last_updated": "2022-01-29",
"certification_date": "2022-01-29",
"status": "A",
"authorized_official_last_name": "INGRAHAM",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "202-670-9674",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.