Nourished Nutrition Counseling & Education

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NOURISHED NUTRITION COUNSELING & EDUCATION

Practice address

10432 Balls Ford Rd Ste 300
Manassas, VA 20109-2517

Phone

(703) 763-0718

Fax

(703) 423-0295

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Caitilin Perez, MFN, RDNNPI 1740987627

Title

Registered Dietitian Nutritionist

Phone

(703) 763-0718

Specialties & licenses 1

Addresses

Other names 1

• Nourished NCE Doing business as

Practitioners 1

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

• Caitilin Perez, MFN, RDN

  • Registered Dietitian
  • Manassas, VA
  • NPI 1740987627

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1225713134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD STE 300",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092517",
            "telephone_number": "703-763-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD STE 300",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092517",
            "telephone_number": "703-763-0718",
            "fax_number": "703-423-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED NUTRITION COUNSELING & EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CAITILIN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "703-763-0718",
        "authorized_official_credential": "MFN, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nourished NCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Manassas, VA
• Providers in Manassas, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.