Individual provider Active NPI

Raeleena Collington, EDD, MBA, MS, LN

  • Nutritionist
  • Laurel, MD
National Provider Identifier
1356668099
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU100000172 Issued in DC
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

Updated by the provider on Jul 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
NU100000172DCMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.