Individual provider Active NPI

Venetta G Kalu, LDN, CNS, ND

  • Nutritionist
  • Beltsville, MD
National Provider Identifier
1346719531
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX4546 Issued in MD
Practice address
4600 Powder Mill Rd # 450-K
Beltsville, MD 20705-2675
Phone
(301) 377-4523
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU100000216 DC
Nutritionist 133N00000X DX4546 MD Primary

Addresses

Primary practice location

4600 Powder Mill Rd # 450-K
Beltsville, MD 20705-2675

Mailing address

4600 Powder Mill Rd # 450-K
Beltsville, MD 20705-2675
Phone (301) 377-4523

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vkalu@pathoflifehealing.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
NU100000216DCMDNutritionist
DX4546MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Living Wholey, Inc. Nutritionist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1346719531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 POWDER MILL RD # 450-K",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052675",
            "telephone_number": "301-377-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 POWDER MILL RD # 450-K",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052675",
            "telephone_number": "301-377-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALU",
        "first_name": "VENETTA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LDN, CNS, ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "DC",
            "license": "NU100000216",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkalu@pathoflifehealing.com",
            "affiliation": "N",
            "address_1": "4600 Powder Mill Rd # 450-K",
            "city": "Beltsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207052675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.