Active NPI
Nutrition Dimensions Inc
- Registered Dietitian
- Bedford, VA
National Provider Identifier
1255633236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT05674
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryNPI 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.