Individual provider Active NPI

Andria L McCormack, RD,LDN

  • Registered Dietitian
  • Ocean City, MD
National Provider Identifier
1225906415
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX5068 Issued in MD
Practice address
12915 Riggin Ridge Rd
Ocean City, MD 21842-9715
Phone
(443) 783-4519
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 DX5068 MD Primary

Addresses

Primary practice location

12915 Riggin Ridge Rd
Ocean City, MD 21842-9715

Mailing address

12915 Riggin Ridge Rd
Ocean City, MD 21842-9715
Phone (443) 783-4519

Other practice location 1

101 Monument St
Salisbury, MD 21804-5044
Phone (443) 783-4519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260205003274 MD Practitioner - Registered Dietitian Or Nutrition Professional 0648759035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Nutrition Company LLCGroup PAC ID 2062804008, 3 clinicians

Practice addresses (Care Compare)

1829 Reisterstown Rd
Suite 350
Pikesville, MD 21208-7126
Phone (240) 448-6181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX5068MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Nutrition Company LLC Dietitian, Registered CurrentSince Jan 24, 2026 Accepting new patients

Locations

1829 Reisterstown Rd
Ste 350
Pikesville, MD 21208
Phone (443) 226-1676

3261 Old Washington Rd
Ste 2020
Waldorf, MD 20602
Phone (240) 419-2412

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, 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": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1225906415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 RIGGIN RIDGE RD",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429715",
            "telephone_number": "443-783-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 RIGGIN RIDGE RD",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429715",
            "telephone_number": "443-783-4519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Monument St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218045044",
            "country_code": "US",
            "telephone_number": "443-783-4519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "ANDRIA",
        "middle_name": "L",
        "credential": "RD,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.