Organization Active NPI

Listen Nutrition, LLC

  • Registered Dietitian
  • Manassas, VA
National Provider Identifier
1093471187
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Jan 29, 2022

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.