Individual provider Active NPI

Allison Nina Mansfield, MS, RD

  • Registered Dietitian
  • Virginia Beach, VA
National Provider Identifier
1154057883
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1981 Grandon Loop Rd
Virginia Beach, VA 23456-3522
Phone
(757) 264-0723
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

1981 Grandon Loop Rd
Virginia Beach, VA 23456-3522

Mailing address

1981 Grandon Loop Rd
Virginia Beach, VA 23456-3522
Phone (757) 264-0723

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004000072 VA Practitioner - Registered Dietitian Or Nutrition Professional 4284010950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
JWF Nutrition LLCGroup PAC ID 2365752979, 9 clinicians

Practice addresses (Care Compare)

848 1St Colonial Rd
Suite B
Virginia Beach, VA 23451-6126
Phone (757) 422-4728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
JWF Nutrition, LLC Dietitian, Registered CurrentSince Sep 1, 2022 Accepting new patients

Locations

115 College Pl
Ste A
Norfolk, VA 23510
Phone (757) 340-3200

848 First Colonial Rd
#B
Virginia Beach, VA 23451
Phone (757) 422-4725

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1154057883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 GRANDON LOOP RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563522",
            "telephone_number": "757-264-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 GRANDON LOOP RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563522",
            "telephone_number": "757-264-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "ALLISON",
        "middle_name": "NINA",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.