NPIMap

Organization Active NPI

Chesapeake Nutrition Company LLC

  • Registered Dietitian
  • Pikesville, MD
National Provider Identifier
1376209221
Registry record updated Nov 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CHESAPEAKE NUTRITION COMPANY LLC
Practice address
1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126
Phone
(410) 382-2980
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2023

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

Authorized official

Name
Ms. Jodi Serafin, RDNNPI 1205374956
Title
Registered Dietitian-Nutritionist
Phone
(410) 382-2980

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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126

Mailing address

1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126
Phone (410) 382-2980

Other practice location 1

3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231
Phone (410) 382-2980

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.chesapeakenutrition.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220125000009 MD Part B Supplier - Clinic/Group Practice 2062804008 Receives reassigned benefits from 3 practitioners
Practice locations: Pikesville, MD; Waldorf, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700956800000",
    "number": "1376209221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 REISTERSTOWN RD STE 350",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087126",
            "telephone_number": "410-382-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 REISTERSTOWN RD STE 350",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087126",
            "telephone_number": "410-382-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3261 Old Washington Rd Ste 2020",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206023231",
            "country_code": "US",
            "telephone_number": "410-382-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHESAPEAKE NUTRITION COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2023-11-26",
        "certification_date": "2023-11-26",
        "status": "A",
        "authorized_official_last_name": "SERAFIN",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN-NUTRITIONIST",
        "authorized_official_telephone_number": "410-382-2980",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.chesapeakenutrition.com",
            "affiliation": "N",
            "address_1": "3261 Old Washington Rd Ste 2020",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206023231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.