Active NPI
Jenna Gorlick Albert, RDN
- Registered Dietitian
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86118560
- Practice address
- 4401 Fairfax Dr Ste 205
Arlington, VA 22203-1622 - Phone
- (571) 328-7408
- NPI assigned
- Mar 10, 2020
- Last updated
- Apr 4, 2023
- 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 | 86118560 | Primary |
Addresses
Primary practice location
4401 Fairfax Dr Ste 205
Arlington, VA 22203-1622
Mailing address
6736 Barrett Rd
Falls Church, VA 22042-2704
Phone (954) 336-7247
Other practice location 1
600 Pennsylvania Ave SE Ste 340
Washington, DC 20003-6300
Phone (571) 328-7408
Other practice location 2
4445 Corporation Ln Ste 264
Virginia Beach, VA 23462-3262
Phone (571) 261-6189
Other names 1
- Jenna Gorlick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 1, 2021 through Dec 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Body Health LLC | Dietitian, Registered | Current | Accepting new patients |
| Jenna Albert Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
4401 Fairfax Dr
Ste 205
Arlington, VA 22203
Phone (571) 328-7403
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1194350124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6736 BARRETT RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422704",
"telephone_number": "954-336-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 FAIRFAX DR STE 205",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031622",
"telephone_number": "571-328-7408"
}
],
"practiceLocations": [
{
"address_1": "600 Pennsylvania Ave SE Ste 340",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200036300",
"country_code": "US",
"telephone_number": "571-328-7408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4445 Corporation Ln Ste 264",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234623262",
"country_code": "US",
"telephone_number": "571-261-6189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBERT",
"first_name": "JENNA",
"middle_name": "GORLICK",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-10",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86118560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "GORLICK",
"credential": "RDN",
"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 Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.