Anne Elizabeth Clark, RDN
Individual provider Active NPI Obesity and Weight Management Nutrition Registered Dietitian · Lansdowne, VA
NPI 1285314849 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1285314849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X
- Practice address
- 19415 Deerfield Ave Ste 202
Lansdowne, VA 20176-8471 - Phone
- (703) 865-6492
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Bradley Management LLC | Past | Accepting new patients | |
| Nourish, Inc. | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
19415 Deerfield Ave
Ste 202
Leesburg, VA 20176
Phone (703) 858-3230
8644 Sudley Rd
#220
Manassas, VA 20110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | Yes |
Addresses
Primary practice location
19415 Deerfield Ave Ste 202
Lansdowne, VA 20176-8471
Mailing address
19415 Deerfield Ave Ste 202
Lansdowne, VA 20176-8471
Other providers in Lansdowne, VA
- Mrunalini A Chakurkar
- Banti D Chand
- Christina Eunha Choi Chang
- Hong Hanh T Chau
- Keri Church
- Kelly A Colingo
- Marsha Tracelyn Edwards Colon
- Commonwealth Neurosurgery
- Comprehensive Neuro Services PC
- Comprehensive Sleep Care Center Inc
All providers in Lansdowne, VA · Obesity and Weight Management Nutrition Registered Dietitian in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.