Active NPI
I Heart Real Food
- Nutritionist
- Gaithersburg, MD
National Provider Identifier
1386326551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- I HEART REAL FOOD
- Practice address
- 3 Carriage Walk CT
Gaithersburg, MD 20879-5512 - Phone
- (240) 306-7400
- NPI assigned
- Aug 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maketa Dixon, CNS, LDN
- Title
- Nutritionist
- Phone
- (240) 306-7400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
3 Carriage Walk CT
Gaithersburg, MD 20879-5512
Mailing address
3 Carriage Walk CT
Gaithersburg, MD 20879-5512
Phone (240) 306-7400
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutritionist
- Bethesda, MD
- NPI 1053007229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1386326551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CARRIAGE WALK CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208795512",
"telephone_number": "240-306-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CARRIAGE WALK CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208795512",
"telephone_number": "240-306-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I HEART REAL FOOD",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-06",
"status": "A",
"authorized_official_last_name": "DIXON",
"authorized_official_first_name": "MAKETA",
"authorized_official_title_or_position": "NUTRITIONIST",
"authorized_official_telephone_number": "240-306-7400",
"authorized_official_credential": "CNS, LDN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.