Active NPI
Jordan Alexander Murrin, RDN
- Registered Dietitian
- Sterling, VA
National Provider Identifier
1104589241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86108260
- Practice address
- 20555 Warburton Bay SQ
Sterling, VA 20165-4754 - Phone
- (703) 565-3001
- NPI assigned
- Oct 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86108260 | VA | Primary |
Addresses
Primary practice location
20555 Warburton Bay SQ
Sterling, VA 20165-4754
Mailing address
20555 Warburton Bay SQ
Sterling, VA 20165-4754
Phone (703) 565-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86108260 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1104589241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20555 WARBURTON BAY SQ",
"city": "STERLING",
"state": "VA",
"postal_code": "201654754",
"telephone_number": "703-565-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20555 WARBURTON BAY SQ",
"city": "STERLING",
"state": "VA",
"postal_code": "201654754",
"telephone_number": "703-565-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRIN",
"first_name": "JORDAN",
"middle_name": "ALEXANDER",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-15",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "86108260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.