Organization Active NPI

Nutrition Dimensions Inc

  • Registered Dietitian
  • Bedford, VA
National Provider Identifier
1255633236
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT05674 Issued in TX
Legal business name
NUTRITION DIMENSIONS INC
Practice address
2609 Fancy Farm Rd
Bedford, VA 24523-3363
Phone
(540) 586-4111
Fax
(888) 875-6054
NPI assigned
Nov 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Martha McDaniel Slaughter, RD, LD, FADA, FACHE
Title
President
Phone
(540) 586-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT05674 TX Primary

Addresses

Primary practice location

2609 Fancy Farm Rd
Bedford, VA 24523-3363

Mailing address

2609 Fancy Farm Rd
Bedford, VA 24523-3363
Phone (540) 586-4111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1255633236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 FANCY FARM RD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233363",
            "telephone_number": "540-586-4111",
            "fax_number": "888-875-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 FANCY FARM RD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233363",
            "telephone_number": "540-586-4111",
            "fax_number": "888-875-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION DIMENSIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "MCDANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-586-4111",
        "authorized_official_credential": "RD, LD, FADA, FACHE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.