Active NPI
Elaina Suzanne Virostko, RDN
- Registered Dietitian
- Fort Belvoir, VA
National Provider Identifier
1225425457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 964559
- Practice address
- 9300 Dewitt Loop
O3.206D
Fort Belvoir, VA 22060-5285 - Phone
- (571) 231-4545
- NPI assigned
- Apr 27, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 964559 | CO | Primary |
Addresses
Primary practice location
9300 Dewitt Loop
O3.206D
Fort Belvoir, VA 22060-5285
Mailing address
9300 Dewitt Loop
O3.206D
Fort Belvoir, VA 22060-5285
Phone (571) 231-4545
Other names 1
- Elaina Suzanne Ortiz
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 964559 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourished Iq Nutrition Studio LLC | Dietitian, Registered | Current | Accepting new patients |
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.
-
- Registered Dietitian
- Florence, MT
- NPI 1104690734
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1225425457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"address_2": "O3.206D",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605285",
"telephone_number": "571-231-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"address_2": "O3.206D",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605285",
"telephone_number": "571-231-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIROSTKO",
"first_name": "ELAINA",
"middle_name": "SUZANNE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-27",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "964559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELAINA",
"last_name": "ORTIZ",
"middle_name": "SUZANNE",
"credential": "RDN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.