Organization Active NPI

Pickett, LLC

  • Nutritionist
  • Beltsville, MD
National Provider Identifier
1356041610
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
PICKETT, LLC
Doing business as
Mandy Pickett Nutrition
Strong and Balanced Nutrition
Practice address
11800 Old Gunpowder Rd
Beltsville, MD 20705-1137
Phone
(301) 655-6373
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Amanda E Pickett, MS, CNS, LDNNPI 1962094359
Title
Member
Phone
(301) 655-6373

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)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

11800 Old Gunpowder Rd
Beltsville, MD 20705-1137

Mailing address

11113 Baltimore Ave
Beltsville, MD 20705-2149
Phone (301) 655-6373

Other names 2

  • Mandy Pickett Nutrition Doing business as
  • Strong and Balanced Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

11113 Baltimore Ave
Beltsville, MD 20705
Phone (240) 583-1414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1356041610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11113 BALTIMORE AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052149",
            "telephone_number": "301-655-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 OLD GUNPOWDER RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051137",
            "telephone_number": "301-655-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-655-6373",
        "authorized_official_credential": "MS, CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mandy Pickett Nutrition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Strong and Balanced Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 6, 2023; 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.