Individual provider Active NPI

Emily Suzanne Cerda, MS, CNS, LDN

  • Nutritionist
  • Lavale, MD
National Provider Identifier
1346769486
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX4247 Issued in MD
Practice address
1230 National Hwy # 1011
Lavale, MD 21502-7612
Phone
(301) 338-8859
NPI assigned
Sep 10, 2017
Sex
Female
Sole proprietor
No

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.

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, Master of Science

State licenses

LicenseStateTypeSpecialty
DX4247MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Inside Nutrition LLC Nutritionist CurrentSince Jul 1, 2022 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX4247 MD
Nutritionist 133N00000X DX4247 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

1230 National Hwy # 1011
Lavale, MD 21502-7612

Mailing address

1230 National Hwy # 1011
Lavale, MD 21502-7612
Phone (301) 338-8859

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2022.

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1346769486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 NATIONAL HWY # 1011",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027612",
            "telephone_number": "301-338-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 NATIONAL HWY # 1011",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027612",
            "telephone_number": "301-338-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERDA",
        "first_name": "EMILY",
        "middle_name": "SUZANNE",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4247",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.