Organization Active NPI

The Eusanio Group, LLC

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Alexandria, VA
National Provider Identifier
1104564327
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
Legal business name
THE EUSANIO GROUP, LLC
Practice address
5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755
Phone
(703) 608-5808
Fax
(703) 263-8650
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Rita Ann Eusanio
Title
Registered Dietitian
Phone
(703) 608-5808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1201X Primary

Addresses

Primary practice location

5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755

Mailing address

5903 Mount Eagle Dr Apt 1409
Alexandria, VA 22303-2532
Phone (703) 608-5808

Other names 1

  • RAE Nutrition Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1104564327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 MOUNT EAGLE DR APT 1409",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032532",
            "telephone_number": "703-608-5808",
            "fax_number": "703-263-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155755",
            "telephone_number": "703-608-5808",
            "fax_number": "703-263-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EUSANIO GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "EUSANIO",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "703-608-5808"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAE Nutrition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAE Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.