Active NPI
Dilafroze Ayesha Thanadar, R.D.
- Registered Dietitian
- Portsmouth, VA
National Provider Identifier
1144429887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.