Active NPI
Emily Suzanne Cerda, MS, CNS, LDN
- Nutritionist
- Lavale, MD
National Provider Identifier
1346769486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DX4247
- 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.
-
- Nutritionist
- Lavale, MD
- NPI 1437736113
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
| License | State | Type | Specialty |
|---|---|---|---|
| DX4247 | MD | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Inside Nutrition LLC | Nutritionist | Current | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DX4247 | MD | |
| Nutritionist | 133N00000X | DX4247 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary 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.