NPIMap

Organization Active NPI

Specialty Nutrition and Health LLC

  • Registered Dietitian
  • Henrico, VA
National Provider Identifier
1235523432
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1003144
Legal business name
SPECIALTY NUTRITION AND HEALTH LLC
Practice address
2727 Enterprise Pkwy
Suite 100
Henrico, VA 23294-6341
Phone
(804) 864-1998
Fax
(804) 864-1997
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Jennifer Fagan, RD
Title
Owner/Manager
Phone
(804) 864-1998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1003144 Primary

Addresses

Primary practice location

2727 Enterprise Pkwy
Suite 100
Henrico, VA 23294-6341

Mailing address

2727 Enterprise Pkwy
Suite 100
Henrico, VA 23294-6341
Phone (804) 864-1998

National Provider Directory

National Provider Directory

Locations

10640 Charter Hill Ct
Ste 103
Ashland, VA 23005
Phone (804) 864-1998

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1235523432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 ENTERPRISE PKWY",
            "address_2": "SUITE 100",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232946341",
            "telephone_number": "804-864-1998",
            "fax_number": "804-864-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 ENTERPRISE PKWY",
            "address_2": "SUITE 100",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232946341",
            "telephone_number": "804-864-1998",
            "fax_number": "804-864-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY NUTRITION AND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "804-864-1998",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1003144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.