Active NPI
Diane A Vizthum, R.D.
- Registered Dietitian
- Baltimore, MD
National Provider Identifier
1144500208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX3229
- Practice address
- 600 N Wolfe St
Nutrition Clinic, Halsted 153
Baltimore, MD 21287-1900 - Phone
- (410) 955-6716
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- No
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 | DX3229 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Nutrition Clinic, Halsted 153
Baltimore, MD 21287-1900
Mailing address
2360 W Joppa Road
Ste 210
Lutherville, MD 21093
Phone (410) 614-3372
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1144500208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 W JOPPA ROAD",
"address_2": "STE 210",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "21093",
"telephone_number": "410-614-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"address_2": "NUTRITION CLINIC, HALSTED 153",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212871900",
"telephone_number": "410-955-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIZTHUM",
"first_name": "DIANE",
"middle_name": "A",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX3229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.