Individual provider Active NPI

Joan Andrea Mandelson, MS RD

  • Registered Dietitian
  • Arlington, VA
National Provider Identifier
1144723743
Registry record updated Mar 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86049917 Issued in VA
Practice address
601 S Carlin Springs Rd
Arlington, VA 22204-1044
Phone
(703) 271-8800
NPI assigned
Mar 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2018

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 86049917 VA Primary

Addresses

Primary practice location

601 S Carlin Springs Rd
Arlington, VA 22204-1044

Mailing address

601 S Carlin Springs Rd
Arlington, VA 22204-1044
Phone (703) 271-8800

Other names 1

  • Joan Andrea Mendez Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86049917VAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520640000000",
    "number": "1144723743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CARLIN SPRINGS RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041044",
            "telephone_number": "703-271-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CARLIN SPRINGS RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041044",
            "telephone_number": "703-271-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELSON",
        "first_name": "JOAN",
        "middle_name": "ANDREA",
        "credential": "MS RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86049917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "MENDEZ",
            "middle_name": "ANDREA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2018; 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.