Active NPI
Raeleena Collington, EDD, MBA, MS, LN
- Nutritionist
- Laurel, MD
National Provider Identifier
1356668099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- NU100000172
- Practice address
- 9065 N Laurel Rd Unit J
Laurel, MD 20723-1569 - Phone
- (202) 929-8102
- NPI assigned
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU100000172 | DC | Primary |
Addresses
Primary practice location
9065 N Laurel Rd Unit J
Laurel, MD 20723-1569
Mailing address
9065 N Laurel Rd
Laurel, MD 20723-1569
Phone (202) 929-8102
Other practice location 1
1813 Arlene Dr
Wilmington, DE 19804-4001
Phone (302) 999-0814
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
- Master of Business Administration, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NU100000172 | DC | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nutrition Fairy LLC | Nutrition, Education | 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.
-
- Nutrition Education Nutritionist
- Wilmington, DE
- NPI 1366769028
Nutrition, Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658620800000",
"number": "1356668099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9065 N LAUREL RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231569",
"telephone_number": "202-929-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9065 N LAUREL RD UNIT J",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231569",
"telephone_number": "202-929-8102"
}
],
"practiceLocations": [
{
"address_1": "1813 Arlene Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198044001",
"country_code": "US",
"telephone_number": "302-999-0814",
"fax_number": "302-999-0692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINGTON",
"first_name": "RAELEENA",
"name_prefix": "Dr.",
"credential": "EDD, MBA, MS, LN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2022-07-24",
"certification_date": "2022-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "DC",
"license": "NU100000172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.