Suchitra M Nathan, MSRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

813571 Issued in VA

Practice address

2700 Prosperity Ave
Suite 100
Fairfax, VA 22031-4339

Phone

(703) 698-2505

Fax

(703) 698-2506

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1306197587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 PROSPERITY AVE",
            "address_2": "SUITE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314339",
            "telephone_number": "703-698-2505",
            "fax_number": "703-698-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PROSPERITY AVE",
            "address_2": "SUITE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314339",
            "telephone_number": "703-698-2505",
            "fax_number": "703-698-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "SUCHITRA",
        "middle_name": "M",
        "credential": "MSRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "813571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insiya H Nasrulla, MD
• Sameena F Nasrullah, MD
• Nassar F Khan MD PC
• Bharath Dwaraka Nath, MD PHD
• Laura Nathan-Furtuna, MSW
• Michele Ruth Nathanson, M.A., CCC-SLP
• Valerie Rose Natoli
• Naturadent, P.C.
• Natural Healing Inc
• Ann Naughton

• Registered Dietitian in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.