Dietitian Alliance LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DIETITIAN ALLIANCE LLC

Practice address

10000 Falls Road
Suite 100
Potomac, MD 20854

Phone

(770) 568-4747

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Ofelia B Mutia, RD

Title

Owner/President

Phone

(770) 568-4747

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1386279073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MARKET PLACE BLVD STE 216",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417925",
            "telephone_number": "770-568-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 FALLS ROAD",
            "address_2": "SUITE 100",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "770-568-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIAN ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2024-01-19",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "MUTIA",
        "authorized_official_first_name": "OFELIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "770-568-4747",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Potomac, MD
• Providers in Potomac, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.