NPIMap

Organization Active NPI

Maryland Nutrition and Diet Services, L.L.C.

  • Registered Dietitian
  • Frederick, MD
National Provider Identifier
1184167405
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX4101 Issued in MD
Legal business name
MARYLAND NUTRITION AND DIET SERVICES, L.L.C.
Practice address
1301 W. 7TH Street
No. 1607
Frederick, MD 21702
Phone
(240) 344-8003
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Dr. Arnetta Renee Fletcher, PHD, RDN, LDNNPI 1730622051
Title
Ceo/ Owner
Phone
(240) 344-8003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X DX4101 MD Primary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X 1158 WV

Addresses

Primary practice location

1301 W. 7TH Street
No. 1607
Frederick, MD 21702

Mailing address

1301 W. 7TH Street
No. 1607
Frederick, MD 21702
Phone (240) 344-8003

Other names 1

  • A. R. Fletcher Nutrition Consulting, L.L.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

1301 W 7th St
Unit 1607
Frederick, MD 21702
Phone (240) 344-8003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1184167405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W. 7TH STREET",
            "address_2": "NO. 1607",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "240-344-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W. 7TH STREET",
            "address_2": "NO. 1607",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "240-344-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND NUTRITION AND DIET SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "ARNETTA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "240-344-8003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4101",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "1158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A. R. Fletcher Nutrition Consulting, L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "A. R. Fletcher Nutrition Consulting, L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.