Individual provider Active NPI

Dilafroze Ayesha Thanadar, R.D.

  • Registered Dietitian
  • Portsmouth, VA
National Provider Identifier
1144429887
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
301 Goode Way
Suite 201
Portsmouth, VA 23704-2266
Phone
(757) 397-0709
Fax
(757) 483-0726
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

301 Goode Way
Suite 201
Portsmouth, VA 23704-2266

Mailing address

301 Goode Way
Suite 201
Portsmouth, VA 23704-2266
Phone (757) 397-0709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324001323 VA Practitioner - Registered Dietitian Or Nutrition Professional 7810943594 Practice locations: Portsmouth, VA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

301 Goode Way
Suite 201
Portsmouth, VA 23704-2266
Phone (757) 483-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1144429887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOODE WAY",
            "address_2": "SUITE 201",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042266",
            "telephone_number": "757-397-0709",
            "fax_number": "757-483-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GOODE WAY",
            "address_2": "SUITE 201",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042266",
            "telephone_number": "757-397-0709",
            "fax_number": "757-483-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANADAR",
        "first_name": "DILAFROZE",
        "middle_name": "AYESHA",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.