Individual provider Active NPI

Jenna Gorlick Albert, RDN

  • Registered Dietitian
  • Arlington, VA
National Provider Identifier
1194350124
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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 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 Former name

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

OrganizationSpecialtyStatusNew patients
Mind Body Health LLC Dietitian, Registered CurrentSince Jun 26, 2022 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

Verify at the official NPI Registry.