Active NPI
Nutrition Coaching, LLC
- Registered Dietitian
- Arlington, VA
National Provider Identifier
1346434305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION COACHING, LLC
- Practice address
- 5275 Lee Hwy
Suite #101
Arlington, VA 22207-1619 - Phone
- (703) 516-4973
- Fax
- (703) 358-8703
- NPI assigned
- Sep 4, 2007
- Last updated
- Oct 29, 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
- Ms. Lise Anne Gloede, RD, CDE
- Title
- Owner
- Phone
- (703) 516-4973
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
5275 Lee Hwy
Suite #101
Arlington, VA 22207-1619
Mailing address
5275 Lee Hwy
Suite #101
Arlington, VA 22207-1619
Phone (703) 516-4973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288310400000",
"number": "1346434305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 LEE HWY",
"address_2": "SUITE #101",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071619",
"telephone_number": "703-516-4973",
"fax_number": "703-358-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275 LEE HWY",
"address_2": "SUITE #101",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071619",
"telephone_number": "703-516-4973",
"fax_number": "703-358-8703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION COACHING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-04",
"last_updated": "2010-10-29",
"status": "A",
"authorized_official_last_name": "GLOEDE",
"authorized_official_first_name": "LISE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-516-4973",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RD, CDE"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.